Not Valid for Submission
D49.5 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of neoplasm of unspecified behavior of other genitourinary organs. 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 D49.5 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 Neoplasm of unsp behavior of other genitourinary organs
Non-specific codes like D49.5 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 neoplasm of unsp behavior of other genitourinary organs: