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D09.3 vs D38.4

D09.3 (Carcinoma in situ of thyroid and other endocrine glands) compared with D38.4 (Neoplasm of uncertain behavior of thymus), from the official CMS tabular data. D09.3 and D38.4 name the same anatomical site (thymus) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

D09.3
Carcinoma in situ of thyroid and other endocrine glands
D38.4
Neoplasm of uncertain behavior of thymus

Same anatomical site, different neoplasm behavior.

Same site — uncertain behavior (thymus)

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. D09.3 and D38.4 name the same anatomical site (thymus) with a different neoplasm behavior.

From the CMS 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

D09.3Carcinoma in situ of thyroid and other endocrine glandsD38.4Neoplasm of uncertain behavior of thymus
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionCarcinoma in situ of thyroid and other endocrine glands is a billable ICD-10-CM diagnosis code (D09.3).Neoplasm of uncertain behavior of thymus is a billable ICD-10-CM diagnosis code (D38.4).
Includes
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia

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