2021 ICD-10-CM Code D49.4
Neoplasm of unspecified behavior of bladder
Valid for Submission
D49.4 is a billable diagnosis code used to specify a medical diagnosis of neoplasm of unspecified behavior of bladder. The code D49.4 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code D49.4 might also be used to specify conditions or terms like 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, etc.
The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic bladder (urinary) ; Neoplasm, neoplastic bladder (urinary) dome ; Neoplasm, neoplastic bladder (urinary) neck ; Neoplasm, neoplastic bladder (urinary) orifice ; Neoplasm, neoplastic bladder (urinary) orifice ureteric ; Neoplasm, neoplastic bladder (urinary) orifice urethral ; Neoplasm, neoplastic bladder (urinary) sphincter ; etc
Unspecified diagnosis codes like D49.4 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.
| ICD-10: | D49.4 |
| Short Description: | Neoplasm of unspecified behavior of bladder |
| Long Description: | Neoplasm of unspecified behavior of bladder |
Code Classification
Approximate 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
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code D49.4 is grouped in the following groups for version MS-DRG V38.0 What are 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). applicable from 10/01/2020 through 09/30/2021.
Convert D49.4 to ICD-9 Code
- 239.4 - Bladder neoplasm NOS
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.
| Neoplasm, neoplastic | Malignant Primary |
Malignant Secondary |
CaInSitu | Benign | Uncertain Behavior |
Unspecified Behavior |
|---|---|---|---|---|---|---|
| »Neoplasm, neoplastic »bladder (urinary) | C67.9 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »dome | C67.1 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »neck | C67.5 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »orifice | C67.9 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »orifice »ureteric | C67.6 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »orifice »urethral | C67.5 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »sphincter | C67.8 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »trigone | C67.0 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »urachus | C67.7 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »wall | C67.9 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »wall »anterior | C67.3 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »wall »lateral | C67.2 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »bladder (urinary) »wall »posterior | C67.4 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »urachus | C67.7 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »ureter, ureteral »orifice (bladder) | C67.6 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »ureter-bladder (junction) | C67.6 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
| »Neoplasm, neoplastic »urethra, urethral (gland) »orifice, internal | C67.5 | C79.11 | D09.0 | D30.3 | D41.4 | D49.4 |
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]
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)