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D48.0 vs D48.1

D48.0 (Neoplasm of uncertain behavior of bone and articular cartilage) compared with D48.1 (Neoplasm of uncertain behavior of connective and other soft tissue), 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 D48.1: “neoplasm of uncertain behavior of cartilage of ear (D48.1-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. D48.0 carries an Excludes1 note covering D48.1: “neoplasm of uncertain behavior of connective tissue of eyelid (D48.1-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. D48.0 carries an Excludes1 note covering D48.1: “neoplasm of uncertain behavior of synovia (D48.1-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. D48.1 carries an Excludes1 note covering D48.0: “neoplasm of uncertain behavior of articular cartilage (D48.0)”

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

D48.0Neoplasm of uncertain behavior of bone and articular cartilageD48.1Neoplasm of uncertain behavior of connective and other soft tissue
Billing statusBillableNon-billable header

Report instead: D48.110, D48.111, D48.112, D48.113, D48.114

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionNeoplasm of uncertain behavior of bone and articular cartilage is a billable ICD-10-CM diagnosis code (D48.0).Neoplasm of uncertain behavior of connective and other soft tissue is a non-billable ICD-10-CM category code (D48.1).
Includes
Neoplasm of uncertain behavior of connective tissue of ear
Neoplasm of uncertain behavior of connective tissue of eyelid
Stromal tumors of uncertain behavior of digestive system

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