D31.5 (Benign neoplasm of lacrimal gland and duct) compared with D48.7 (Neoplasm of uncertain behavior of other specified sites), from the official CMS tabular data. D31.5 and D48.7 name the same anatomical site (lacrimal) with a different neoplasm behavior.
Same anatomical site, different neoplasm behavior.
Same site — uncertain behavior (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
Same site, different neoplasm behavior. D31.5 and D48.7 name the same anatomical site (lacrimal) 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.
| D31.5Benign neoplasm of lacrimal gland and duct | D48.7Neoplasm of uncertain behavior of other specified sites | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | C00-D49 — Neoplasms (C00-D49) | C00-D49 — Neoplasms (C00-D49) |
| Definition | Benign neoplasm of lacrimal gland and duct is a non-billable ICD-10-CM category code (D31.5). | Neoplasm of uncertain behavior of other specified sites is a billable ICD-10-CM diagnosis code (D48.7). |
| Includes | Benign neoplasm of lacrimal sac Benign neoplasm of nasolacrimal duct | 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