2022 ICD-10-CM Code D49

Neoplasms of unspecified behavior

Version 2021

Not Valid for Submission

ICD-10:D49
Short Description:Neoplasms of unspecified behavior
Long Description:Neoplasms of unspecified behavior

Code Classification

  • Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism (D50–D89)
    • Neoplasms of unspecified behavior (D49)
      • Neoplasms of unspecified behavior (D49)

D49 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of neoplasms of unspecified behavior. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Unspecified diagnosis codes like D49 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Specific Coding for Neoplasms of unspecified behavior

Non-specific codes like D49 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for neoplasms of unspecified behavior:

  • BILLABLE CODE - Use D49.0 for Neoplasm of unspecified behavior of digestive system
  • BILLABLE CODE - Use D49.1 for Neoplasm of unspecified behavior of respiratory system
  • BILLABLE CODE - Use D49.2 for Neoplasm of unspecified behavior of bone, soft tissue, and skin
  • BILLABLE CODE - Use D49.3 for Neoplasm of unspecified behavior of breast
  • BILLABLE CODE - Use D49.4 for Neoplasm of unspecified behavior of bladder
  • NON-BILLABLE CODE - D49.5 for Neoplasm of unspecified behavior of other genitourinary organs
  • NON-BILLABLE CODE - D49.51 for Neoplasm of unspecified behavior of kidney
  • BILLABLE CODE - Use D49.59 for Neoplasm of unspecified behavior of other genitourinary organ
  • BILLABLE CODE - Use D49.6 for Neoplasm of unspecified behavior of brain
  • BILLABLE CODE - Use D49.7 for Neoplasm of unspecified behavior of endocrine glands and other parts of nervous system
  • NON-BILLABLE CODE - D49.8 for Neoplasm of unspecified behavior of other specified sites
  • BILLABLE CODE - Use D49.81 for Neoplasm of unspecified behavior of retina and choroid
  • BILLABLE CODE - Use D49.89 for Neoplasm of unspecified behavior of other specified sites
  • BILLABLE CODE - Use D49.9 for Neoplasm of unspecified behavior of unspecified site

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D49:


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)