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D38.5 vs D48.0

D38.5 (Neoplasm of uncertain behavior of other respiratory organs) compared with D48.0 (Neoplasm of uncertain behavior of bone and articular cartilage), 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. D48.0 carries an Excludes1 note covering D38.5: “neoplasm of uncertain behavior of cartilage of nose (D38.5)”

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

D38.5Neoplasm of uncertain behavior of other respiratory organsD48.0Neoplasm of uncertain behavior of bone and articular cartilage
Billing statusBillableBillable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionNeoplasm of uncertain behavior of other respiratory organs is a billable ICD-10-CM diagnosis code (D38.5).Neoplasm of uncertain behavior of bone and articular cartilage is a billable ICD-10-CM diagnosis code (D48.0).
Includes
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