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D23.7 vs D48.5

D23.7 (Other benign neoplasm of skin of lower limb, including hip) compared with D48.5 (Neoplasm of uncertain behavior of skin), from the official CMS tabular data. D23.7 and D48.5 name the same anatomical site (nail) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D23.7
Other benign neoplasm of skin of lower limb, including hip
D48.5
Neoplasm of uncertain behavior of skin

Same anatomical site, different neoplasm behavior.

Same site — uncertain behavior (nail)

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. D23.7 and D48.5 name the same anatomical site (nail) 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

D23.7Other benign neoplasm of skin of lower limb, including hipD48.5Neoplasm of uncertain behavior of skin
Billing statusNon-billable header

Report instead: D23.70, D23.71, D23.72

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionOther benign neoplasm of skin of lower limb, including hip is a non-billable ICD-10-CM category code (D23.7).Neoplasm of uncertain behavior of skin is a billable ICD-10-CM diagnosis code (D48.5).
Includes
benign neoplasm of hair follicles
benign neoplasm of sebaceous glands
benign neoplasm of sweat glands
Neoplasm of uncertain behavior of anal margin
Neoplasm of uncertain behavior of anal skin
Neoplasm of uncertain behavior of perianal skin
Neoplasm of uncertain behavior of skin of breast

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