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D31.1 vs D48.7

D31.1 (Benign neoplasm of cornea) compared with D48.7 (Neoplasm of uncertain behavior of other specified sites), from the official CMS tabular data. D31.1 and D48.7 name the same anatomical site (cornea) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

D48.7
Neoplasm of uncertain behavior of other specified sites
D31.1
Benign neoplasm of cornea

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (cornea)

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. D48.7 and D31.1 name the same anatomical site (cornea) 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

D31.1Benign neoplasm of corneaD48.7Neoplasm of uncertain behavior of other specified sites
Billing statusNon-billable header

Report instead: D31.10, D31.11, D31.12

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionBenign neoplasm of cornea is a non-billable ICD-10-CM category code (D31.1).Neoplasm of uncertain behavior of other specified sites is a billable ICD-10-CM diagnosis code (D48.7).
Includes
Neoplasm of uncertain behavior of eye
Neoplasm of uncertain behavior of heart
Neoplasm of uncertain behavior of peripheral nerves of orbit

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