D38 vs D48.7
D38 (Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs) compared with D48.7 (Neoplasm of uncertain behavior of other specified sites), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D38 carries an Excludes1 note covering D48.7: “neoplasm of uncertain behavior of heart (D48.7)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D38Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs | 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 | Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs is a non-billable ICD-10-CM category code (D38). | 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