Version 2024

2024 ICD-10-CM Diagnosis Code D48.115

Desmoid tumor of upper extremity and shoulder girdle

ICD-10-CM Code:: D48.115
ICD-10 Code for:: Desmoid tumor of upper extremity and shoulder girdle
Is Billable?: Yes - Valid for Submission
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Code Information
2024 ICD-10 Code
Tabular List of Diseases and Injuries
Index to Diseases and Injuries References
Diagnostic Related Groups Mapping
Replacement Code
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Neoplasms
(C00–D49)
- Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes
  (D37-D48)
  - Neoplasm of uncertain behavior of other and unspecified sites
    (D48)

D48.115 is a billable diagnosis code used to specify a medical diagnosis of desmoid tumor of upper extremity and shoulder girdle. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

New 2024 ICD-10-CM Code

D48.115 is new to ICD-10-CM code set for the FY 2024, effective October 1, 2023. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2023. This is a new and revised code for the FY 2024 (October 1, 2023 - September 30, 2024).

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

- Desmoid (extra-abdominal) (tumor) - See: Neoplasm, connective tissue, uncertain behavior;
- - extremity
  - - upper - D48.115
- - shoulder girdle - D48.115

D48.115 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	08	1.5619
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	08	0.9994
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	08	0.7505

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Replacement Code

D48115 replaces the following previously assigned ICD-10-CM code(s):

D48.1 - Neoplasm of uncertain behavior of connctv/soft tiss

Code History

FY 2024 - Code Added, effective from 10/1/2023 through 9/30/2024