2027 ICD-10-CM Diagnosis Code D49Neoplasms of unspecified behavior
D49 is a non-billable ICD-10-CM category code for neoplasms of unspecified behavior, so it cannot be submitted on claims. Use a more specific code from this category instead, such as D49.0, D49.1, D49.2, and D49.3.
Code Identity
Code Classification
Specific Coding for Neoplasms of unspecified behaviorOverview
Non-specific codes like D49 require more characters. Use one of these billable codes instead:
Use D49.0 for Neoplasm of unspecified behavior of digestive system
Use D49.1 for Neoplasm of unspecified behavior of respiratory system
Use D49.2 for Neoplasm of unspecified behavior of bone, soft tissue, and skin
Use D49.3 for Neoplasm of unspecified behavior of breast
Use D49.4 for Neoplasm of unspecified behavior of bladder
D49.5 for Neoplasm of unspecified behavior of other genitourinary organs
D49.51 for Neoplasm of unspecified behavior of kidney
Use D49.59 for Neoplasm of unspecified behavior of other genitourinary organ
Use D49.6 for Neoplasm of unspecified behavior of brain
Use D49.7 for Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
D49.8 for Neoplasm of unspecified behavior of other specified sites
Use D49.81 for Neoplasm of unspecified behavior of retina and choroid
Use D49.89 for Neoplasm of unspecified behavior of other specified sites
Use D49.9 for Neoplasm of unspecified behavior of unspecified site
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D49: its own notes plus those printed at Chapter 2. A note printed at a category, block or chapter applies to every code under it.
Includes
Further defines, or gives examples of, the content of the category.
- 'growth' NOS
- neoplasm NOS
- new growth NOS
- tumor NOS
Excludes2
Not included here: the excluded condition is not part of this code, but a patient may have both, so both codes may be reported.
Notes
General instructions on how these codes are used.
- Category D49 classifies by site neoplasms of unspecified morphology and behavior. The term 'mass', unless otherwise stated, is not to be regarded as a neoplastic growth.
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name D49, its category, or a range that includes it.
Excludes1 1
These codes carry an Excludes1 note naming D49: they are not reported together with it, unless the two conditions are unrelated.
- Block D37-D48 Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromesneoplasms of unspecified behavior (D49.-)
Code HistoryHistory
Questions About D49Overview
What is the ICD-10 code for neoplasms of unspecified behavior?
D49 is the ICD-10-CM category for neoplasms of unspecified behavior, but it is a non-billable header: claims need a more specific code from this category, listed on this page.
Is D49 (Neoplasms of unspecified behavior) a billable code?
No. This is a category header that groups the codes for neoplasms of unspecified behavior, and headers cannot be submitted on claims. Claims for neoplasms of unspecified behavior need a more specific code from this category, such as D49.0, D49.1, and D49.2.