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D14.0 vs D38.5

D14.0 (Benign neoplasm of middle ear, nasal cavity and accessory sinuses) compared with D38.5 (Neoplasm of uncertain behavior of other respiratory organs), from the official CMS tabular data. D14.0 and D38.5 name the same anatomical site (antrum) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D38.5
Neoplasm of uncertain behavior of other respiratory organs
D14.0
Benign neoplasm of middle ear, nasal cavity and accessory sinuses

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (antrum)

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. D38.5 and D14.0 name the same anatomical site (antrum) 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

D14.0Benign neoplasm of middle ear, nasal cavity and accessory sinusesD38.5Neoplasm of uncertain behavior of other respiratory organs
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionBenign neoplasm of middle ear, nasal cavity and accessory sinuses is a billable ICD-10-CM diagnosis code (D14.0).Neoplasm of uncertain behavior of other respiratory organs is a billable ICD-10-CM diagnosis code (D38.5).
Includes
Benign neoplasm of cartilage of nose
Neoplasm of uncertain behavior of accessory sinuses
Neoplasm of uncertain behavior of cartilage of nose
Neoplasm of uncertain behavior of middle ear
Neoplasm of uncertain behavior of nasal cavities

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