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C79.49 vs D31.5

C79.49 (Secondary malignant neoplasm of other parts of nervous system) compared with D31.5 (Benign neoplasm of lacrimal gland and duct), from the official CMS tabular data. C79.49 and D31.5 name the same anatomical site (lacrimal) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

D31.5
Benign neoplasm of lacrimal gland and duct
C79.49
Secondary malignant neoplasm of other parts of nervous system

Same anatomical site, different neoplasm behavior.

Same site — secondary malignancy (lacrimal)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. D31.5 and C79.49 name the same anatomical site (lacrimal) with a different neoplasm behavior.

From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

C79.49Secondary malignant neoplasm of other parts of nervous systemD31.5Benign neoplasm of lacrimal gland and duct
Billing statusBillableNon-billable header

Report instead: D31.50, D31.51, D31.52

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionSecondary malignant neoplasm of other parts of nervous system is a billable ICD-10-CM diagnosis code (C79.49).Benign neoplasm of lacrimal gland and duct is a non-billable ICD-10-CM category code (D31.5).
Includes
Benign neoplasm of lacrimal sac
Benign neoplasm of nasolacrimal duct

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources