2026 ICD-10-CM Diagnosis Code D49.6Neoplasm of unspecified behavior of brain

ICD-10-CM CodesD50–D89D49D49

ICD-10-CM D49.6
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

D49.6 is a billable ICD-10-CM diagnosis code for neoplasm of unspecified behavior of brain. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026). In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Neoplasms of unspecified nature or uncertain behavior.

Code Identity

ICD-10-CM Code
D49.6
Billable Status
Yes — Valid for Submission
Code Describes
Neoplasm of unspecified behavior of brain
Short Description
Neoplasm of unspecified behavior of brain
Same as the full description in the CMS dataset.
Parent Code
Neoplasms of unspecified behavior

Code Classification

ChapterD50–D89Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
SectionD49Neoplasms of unspecified behavior
CategoryD49Neoplasms of unspecified behavior
This CodeD49.6Neoplasm of unspecified behavior of brain

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Cerebellopontine angle tumor
  • Cerebral degeneration due to neoplastic disease
  • Epilepsy due to intracranial neoplasm
  • Germ cell tumor of the brain
  • Headache due to intracranial neoplasm
  • Hemichorea
  • Hemichorea due to neoplasm of brain
  • Hydrocephalus due to intracranial neoplasm
  • Intracranial neoplasm
  • Neoplasm of brain
  • Neoplasm of brain stem
  • Neoplasm of cerebellum
  • Neoplasm of cerebrum
  • Neoplasm of choroid plexus
  • Neoplasm of frontal lobe
  • Neoplasm of hypothalamus
  • Neoplasm of occipital lobe
  • Neoplasm of parietal lobe
  • Neoplasm of temporal lobe
  • Neoplasm of ventricle of brain
  • Obstructive hydrocephalus
  • Pain due to neoplastic disease

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • neoplasm of unspecified behavior of cerebral meninges D49.7
  • neoplasm of unspecified behavior of cranial nerves D49.7

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Degeneration, degenerative
      • brain (cortical) (progressive)
        • in
          • neoplastic disease

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO072
Neoplasms of unspecified nature or uncertain behavior
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Basal Ganglia

    large subcortical nuclear masses derived from the telencephalon and located in the basal regions of the cerebral hemispheres.
  • Basal Ganglia Cerebrovascular Disease

    a pathological condition caused by impaired blood flow in the basal regions of cerebral hemispheres (basal ganglia), such as infarction; hemorrhage; or ischemia in vessels of this brain region including the lateral lenticulostriate arteries. primary clinical manifestations include involuntary movements (dyskinesias) and muscle weakness (hemiparesis).
  • Basal Ganglia Diseases

    diseases of the basal ganglia including the putamen; globus pallidus; claustrum; amygdala; and caudate nucleus. dyskinesias (most notably involuntary movements and alterations of the rate of movement) represent the primary clinical manifestations of these disorders. common etiologies include cerebrovascular disorders; neurodegenerative diseases; and craniocerebral trauma.
  • Basal Ganglia Hemorrhage

    bleeding within the subcortical regions of cerebral hemispheres (basal ganglia). it is often associated with hypertension or arteriovenous malformations. clinical manifestations may include headache; dyskinesias; and hemiparesis.
  • Globus Pallidus

    the representation of the phylogenetically oldest part of the corpus striatum called the paleostriatum. it forms the smaller, more medial part of the lentiform nucleus.
  • Anterior Hypothalamic Nucleus

    loose heterogeneous collection of cells in the anterior hypothalamus, continuous rostrally with the medial and lateral preoptic areas and caudally with the tuber cinereum.
  • Arcuate Nucleus of Hypothalamus

    a nucleus located in the middle hypothalamus in the most ventral part of the third ventricle near the entrance of the infundibular recess. its small cells are in close contact with the ependyma.
  • Hypothalamic Area, Lateral

    area in the hypothalamus bounded medially by the mammillothalamic tract and the anterior column of the fornix (brain). the medial edge of the internal capsule and the subthalamic region form its lateral boundary. it contains the lateral hypothalamic nucleus, tuberomammillary nucleus, lateral tuberal nuclei, and fibers of the medial forebrain bundle.
  • Hypothalamic Neoplasms

    benign and malignant tumors of the hypothalamus. pilocytic astrocytomas and hamartomas are relatively frequent histologic types. neoplasms of the hypothalamus frequently originate from adjacent structures, including the optic chiasm, optic nerve (see optic nerve neoplasms), and pituitary gland (see pituitary neoplasms). relatively frequent clinical manifestations include visual loss, developmental delay, macrocephaly, and precocious puberty. (from devita et al., cancer: principles and practice of oncology, 5th ed, p2051)
  • Hypothalamus

    ventral part of the diencephalon extending from the region of the optic chiasm to the caudal border of the mammillary bodies and forming the inferior and lateral walls of the third ventricle.
  • Hypothalamus, Anterior

    the front portion of the hypothalamus separated into the preoptic region and the supraoptic region. the preoptic region is made up of the periventricular gray matter of the rostral portion of the third ventricle and contains the preoptic ventricular nucleus and the medial preoptic nucleus. the supraoptic region contains the paraventricular hypothalamic nucleus, the supraoptic nucleus, the anterior hypothalamic nucleus, and the suprachiasmatic nucleus.
  • Hypothalamus, Middle

    middle portion of the hypothalamus containing the arcuate, dorsomedial, ventromedial nuclei, the tuber cinereum and the pituitary gland.
  • Hypothalamus, Posterior

    the part of the hypothalamus posterior to the middle region consisting of several nuclei including the medial maxillary nucleus, lateral mammillary nucleus, and posterior hypothalamic nucleus (posterior hypothalamic area). the posterior hypothalamic area is concerned with control of sympathetic responses and is sensitive to conditions of decreasing temperature and controls the mechanisms for the conservation and increased production of heat.
  • Pituitary Gland

    a small, unpaired gland situated in the sella turcica. it is connected to the hypothalamus by a short stalk which is called the infundibulum.
  • Supraoptic Nucleus

    hypothalamic nucleus overlying the beginning of the optic tract.
  • Putamen

    the largest and most lateral of the basal ganglia lying between the lateral medullary lamina of the globus pallidus and the external capsule. it is part of the neostriatum and forms part of the lentiform nucleus along with the globus pallidus.
  • Putaminal Hemorrhage

    intracranial bleeding into the putamen, a basal ganglia nucleus. this is associated with hypertension and lipohyalinosis of small blood vessels in the putamen. clinical manifestations vary with the size of hemorrhage, but include hemiparesis; headache; and alterations of consciousness.
  • Anterior Thalamic Nuclei

    three nuclei located beneath the dorsal surface of the most rostral part of the thalamus. the group includes the anterodorsal nucleus, anteromedial nucleus, and anteroventral nucleus. all receive connections from the mamillary body and brain fornix, and project fibers to the cingulate body.
  • Intralaminar Thalamic Nuclei

    cell groups within the internal medullary lamina of the thalamus. they include a rostral division comprising the paracentral, central lateral, central dorsal, and central medial nuclei, and a caudal division composed of the centromedian and parafascicular nuclei.
  • Mediodorsal Thalamic Nucleus

    the largest of the medial nuclei of the thalamus. it makes extensive connections with most of the other thalamic nuclei.
  • Midline Thalamic Nuclei

    small, nonspecific nerve cells scattered in the periventricular gray matter, separating the medial part of the thalamus from the ependyma of the third ventricle. the group includes the paraventricular nucleus, paratenial nucleus, reuniens nucleus, rhomboidal nucleus, and subfascular nucleus.
  • Posterior Thalamic Nuclei

    a transitional diencephalic zone of the thalamus consisting of complex and varied cells lying caudal to the ventral posterolateral nucleus, medial to the rostral part of the pulvinar, and dorsal to the medial geniculate body. it contains the limitans, posterior, suprageniculate, and submedial nuclei.
  • Pulvinar

    large mass of nuclei forming the most caudal portion of the thalamus and overhanging the geniculate bodies and the dorsolateral surface of the midbrain. it is divided into four parts: the lateral, medial, inferior, and oral pulvinar nuclei.
  • Thalamus

    paired bodies containing mostly gray matter and forming part of the lateral wall of the third ventricle of the brain.
  • Ventral Thalamic Nuclei

    a large group of nuclei lying between the internal medullary lamina and the internal capsule. it includes the ventral anterior, ventral lateral, and ventral posterior nuclei.

Table of NeoplasmsClinical

Anatomical sites in the Table of Neoplasms that reference this code family.

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
basal gangliaC71.0C79.31D33.0D43.0D49.6
basis pedunculiC71.7C79.31D33.1D43.1D49.6
brain NECC71.9C79.31D33.2D43.2D49.6
brain NEC basal gangliaC71.0C79.31D33.0D43.0D49.6
brain NEC cerebellopontine angleC71.6C79.31D33.1D43.1D49.6
brain NEC cerebellum NOSC71.6C79.31D33.1D43.1D49.6
brain NEC cerebrumC71.0C79.31D33.0D43.0D49.6
brain NEC choroid plexusC71.7C79.31D33.1D43.1D49.6
brain NEC corpus callosumC71.8C79.31D33.2D43.2D49.6
brain NEC corpus striatumC71.0C79.31D33.0D43.0D49.6
brain NEC cortex (cerebral)C71.0C79.31D33.0D43.0D49.6
brain NEC frontal lobeC71.1C79.31D33.0D43.0D49.6
brain NEC globus pallidusC71.0C79.31D33.0D43.0D49.6
brain NEC hippocampusC71.2C79.31D33.0D43.0D49.6
brain NEC hypothalamusC71.0C79.31D33.0D43.0D49.6
brain NEC internal capsuleC71.0C79.31D33.0D43.0D49.6
brain NEC medulla oblongataC71.7C79.31D33.1D43.1D49.6
brain NEC midbrainC71.7C79.31D33.1D43.1D49.6
brain NEC occipital lobeC71.4C79.31D33.0D43.0D49.6
brain NEC parietal lobeC71.3C79.31D33.0D43.0D49.6
brain NEC peduncleC71.7C79.31D33.1D43.1D49.6
brain NEC ponsC71.7C79.31D33.1D43.1D49.6
brain NEC stemC71.7C79.31D33.1D43.1D49.6
brain NEC tapetumC71.8C79.31D33.2D43.2D49.6
brain NEC temporal lobeC71.2C79.31D33.0D43.0D49.6
brain NEC thalamusC71.0C79.31D33.0D43.0D49.6
brain NEC uncusC71.2C79.31D33.0D43.0D49.6
brain NEC ventricle (floor)C71.5C79.31D33.0D43.0D49.6
brain NEC ventricle (floor) fourthC71.7C79.31D33.1D43.1D49.6
cerebellopontine (angle)C71.6C79.31D33.1D43.1D49.6
cerebellum, cerebellarC71.6C79.31D33.1D43.1D49.6
cerebrum, cerebral (cortex) (hemisphere) (white matter)C71.0C79.31D33.0D43.0D49.6
cerebrum, cerebral (cortex) (hemisphere) (white matter) peduncleC71.7C79.31D33.1D43.1D49.6
cerebrum, cerebral (cortex) (hemisphere) (white matter) ventricleC71.5C79.31D33.0D43.0D49.6
cerebrum, cerebral (cortex) (hemisphere) (white matter) ventricle fourthC71.7C79.31D33.1D43.1D49.6
choroid plexusC71.5C79.31D33.0D43.0D49.6
corpus callosum, brainC71.0C79.31D33.2D43.2D49.6
corpus striatum, cerebrumC71.0C79.31D33.0D43.0D49.6
cortex cerebralC71.0C79.31D33.0D43.0D49.6
cranial (fossa, any)C71.9C79.31D33.2D43.2D49.6
ependyma (brain)C71.5C79.31D33.0D43.0D49.6
ependyma (brain) fourth ventricleC71.7C79.31D33.1D43.1D49.6
fossa (of)C71.9C79.31D33.2D43.2D49.6
fossa (of) anterior (cranial)C71.9C79.31D33.2D43.2D49.6
fossa (of) cranialC71.9C79.31D33.2D43.2D49.6
fossa (of) middle (cranial)C71.9C79.31D33.2D43.2D49.6
fossa (of) posterior (cranial)C71.9C79.31D33.2D43.2D49.6
frontal lobe, brainC71.1C79.31D33.0D43.0D49.6
frontal poleC71.1C79.31D33.0D43.0D49.6
ganglia [See Also: Neoplasm, nerve, peripheral] basalC71.0C79.31D33.0D43.0D49.6
globus pallidusC71.0C79.31D33.0D43.0D49.6
hemisphere, cerebralC71.0C79.31D33.0D43.0D49.6
hippocampus, brainC71.2C79.31D33.0D43.0D49.6
hypothalamusC71.0C79.31D33.0D43.0D49.6
insulaC71.0C79.31D33.0D43.0D49.6
insular tissue (pancreas) brainC71.0C79.31D33.0D43.0D49.6
internalC71.0C79.31D33.0D43.0D49.6
internal capsuleC71.0C79.31D33.0D43.0D49.6
intracranial NECC71.9C79.31D33.2D43.2D49.6
island of ReilC71.0C79.31D33.0D43.0D49.6
medulla oblongataC71.7C79.31D33.1D43.1D49.6
midbrainC71.7C79.31D33.1D43.1D49.6
motor tract brainC71.9C79.31D33.2D43.2D49.6
occipital lobe or pole, brainC71.4C79.31D33.0D43.0D49.6
olive (brain)C71.7C79.31D33.1D43.1D49.6
operculum (brain)C71.0C79.31D33.0D43.0D49.6
palliumC71.0C79.31D33.0D43.0D49.6
parietal lobe, brainC71.3C79.31D33.0D43.0D49.6
peduncle, cerebralC71.7C79.31D33.1D43.1D49.6
plexus choroidC71.5C79.31D33.0D43.0D49.6
poleC71.1C79.31D33.0D43.0D49.6
pole frontalC71.1C79.31D33.0D43.0D49.6
pole occipitalC71.4C79.31D33.0D43.0D49.6
pons (varolii)C71.7C79.31D33.1D43.1D49.6
posterior fossa (cranial)C71.9C79.31D33.2D43.2D49.6
putamenC71.0C79.31D33.0D43.0D49.6
pyramid (brain)C71.7C79.31D33.1D43.1D49.6
rhinencephalonC71.0C79.31D33.0D43.0D49.6
spine, spinal (column) bulbC71.7C79.31D33.1D43.1D49.6
stem, brainC71.7C79.31D33.1D43.1D49.6
suprasellar (region)C71.9C79.31D33.2D43.2D49.6
supratentorial (brain) NECC71.0C79.31D33.0D43.0D49.6
tapetum, brainC71.8C79.31D33.2D43.2D49.6
temporal lobe or poleC71.2C79.31D33.0D43.0D49.6
thalamusC71.0C79.31D33.0D43.0D49.6
uncus, brainC71.2C79.31D33.0D43.0D49.6
ventricle (cerebral) (floor) (lateral) (third)C71.5C79.31D33.0D43.0D49.6
ventricle (cerebral) (floor) (lateral) (third) fourthC71.7C79.31D33.1D43.1D49.6
vermis, cerebellumC71.6C79.31D33.1D43.1D49.6
white matter (central) (cerebral)C71.0C79.31D33.0D43.0D49.6

Patient EducationClinical

Brain Diseases

Your brain is the control center of your body. It controls your thoughts, memory, speech, and movement. It regulates the function of many organs. It's part of your nervous system, which also includes your spinal cord and peripheral nerves. The nervous system sends signals between your brain and the rest of the body.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert D49.6 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
239.6 Brain neoplasm NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About D49.6Overview

Is D49.6 (Neoplasms of unspecified behavior) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report neoplasm of unspecified behavior of brain on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What is the ICD-9 equivalent of D49.6?

Under the General Equivalence Mappings, neoplasm of unspecified behavior of brain converts to ICD-9-CM 239.6 (brain neoplasm NOS). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.