ICD-10 Code D49.4

Neoplasm of unspecified behavior of bladder

Version 2019 Billable Code Neoplasm Unspecified Behavior

Valid for Submission

D49.4 is a billable code used to specify a medical diagnosis of neoplasm of unspecified behavior of bladder. The code is valid for the year 2019 for the submission of HIPAA-covered transactions.

ICD-10: D49.4
Short Description:Neoplasm of unspecified behavior of bladder
Long Description:Neoplasm of unspecified behavior of bladder

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)

Code History

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

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code D49.4 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 656 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC
  • 657 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC
  • 658 - KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC
  • 659 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC
  • 660 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC
  • 661 - KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

Convert D49.4 to ICD-9

The following crosswalk between ICD-10 to ICD-9 is based based on the General Equivalence Mappings (GEMS) information:

  • 239.4 - Bladder neoplasm NOS

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Neoplasm of anterior wall of urinary bladder
  • Neoplasm of apex of urinary bladder
  • Neoplasm of bladder
  • Neoplasm of dome of urinary bladder
  • Neoplasm of lateral wall of urinary bladder
  • Neoplasm of posterior wall of urinary bladder
  • Neoplasm of trigone of urinary bladder
  • Neoplasm of urachus
  • Neoplasm of ureteric orifice of urinary bladder
  • Neoplasm of urinary bladder neck
  • Tumor of bladder neck
  • Tumor of vault of bladder

Table of Neoplasms

The code D49.4 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»bladder (urinary)
C67.9C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »dome
C67.1C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »neck
C67.5C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »orifice
C67.9C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »orifice
    »ureteric
C67.6C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »orifice
    »urethral
C67.5C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »sphincter
C67.8C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »trigone
C67.0C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »urachus
C67.7C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »wall
C67.9C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »wall
    »anterior
C67.3C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »wall
    »lateral
C67.2C79.11D09.0D30.3D41.4D49.4
»bladder (urinary)
  »wall
    »posterior
C67.4C79.11D09.0D30.3D41.4D49.4
»urachus
C67.7C79.11D09.0D30.3D41.4D49.4
»ureter, ureteral
  »orifice (bladder)
C67.6C79.11D09.0D30.3D41.4D49.4
»ureter-bladder (junction)
C67.6C79.11D09.0D30.3D41.4D49.4
»urethra, urethral (gland)
  »orifice, internal
C67.5C79.11D09.0D30.3D41.4D49.4

Information for Patients


Bladder Diseases

The bladder is a hollow organ in your lower abdomen that stores urine. Many conditions can affect your bladder. Some common ones are

  • Cystitis - inflammation of the bladder, often from an infection
  • Urinary incontinence - loss of bladder control
  • Overactive bladder - a condition in which the bladder squeezes urine out at the wrong time
  • Interstitial cystitis - a chronic problem that causes bladder pain and frequent, urgent urination
  • Bladder cancer

Doctors diagnose bladder diseases using different tests. These include urine tests, x-rays, and an examination of the bladder wall with a scope called a cystoscope. Treatment depends on the cause of the problem. It may include medicines and, in severe cases, surgery.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

  • Bladder biopsy (Medical Encyclopedia)
  • Bladder outlet obstruction (Medical Encyclopedia)
  • Bladder stones (Medical Encyclopedia)
  • Cystitis - noninfectious (Medical Encyclopedia)
  • Indwelling catheter care (Medical Encyclopedia)
  • Neurogenic bladder (Medical Encyclopedia)
  • Self catheterization - female (Medical Encyclopedia)
  • Self catheterization - male (Medical Encyclopedia)
  • Urinary catheters (Medical Encyclopedia)
  • Urinary Retention - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)

[Learn More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.