2022 ICD-10-CM Code D49.5

Neoplasm of unspecified behavior of other genitourinary organs

Version 2021

Not Valid for Submission

ICD-10:D49.5
Short Description:Neoplasm of unsp behavior of other genitourinary organs
Long Description:Neoplasm of unspecified behavior of other genitourinary organs

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)

D49.5 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:

  • NON-BILLABLE CODE - D49.51 for Neoplasm of unspecified behavior of kidney
  • BILLABLE CODE - Use D49.511 for Neoplasm of unspecified behavior of right kidney
  • BILLABLE CODE - Use D49.512 for Neoplasm of unspecified behavior of left kidney
  • BILLABLE CODE - Use D49.519 for Neoplasm of unspecified behavior of unspecified kidney
  • BILLABLE CODE - Use D49.59 for Neoplasm of unspecified behavior of other genitourinary organ

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)