ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D37.01

Billable / Specific

Neoplasm of uncertain behavior of lip

D37
Block
1
Synonyms
540
LCDs
20
Payer Policies
33
Linked CPTs

About ICD-10-CM D37.01

ICD-10-CM code D37.01 represents Neoplasm of uncertain behavior of lip. This is a billable/specific code in the Neoplasms chapter (block D37). The 2026 edition of ICD-10-CM D37.01 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D37.01. Per CMS ICD-10-CM Tabular 2026.

  • Neoplasm of uncertain behavior of vermilion border of lip

Medicare LCD Coverage for D37.01

Local Coverage Determinations (LCDs) from CMS MACs that list D37.01 as a covered diagnosis.

540 LCDs

Showing top 10 of 540 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11313 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11300 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11306 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11423 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11442 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11307 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11303 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11305 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11302 →
CMS LCD: Billing and Coding: Removal of Benign Skin Lesions
Article ID: 57482, Effective: 2026-01-01 00:00:00, 138 covered, 1 non-covered
CPT 11440 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D37.01.

20 policies

1 Cigna

Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Paclitaxel (e.g., Taxol�/Abraxane �)
Policy ID: ART-52450
Oral Anticancer Drugs - Policy Article
Policy ID: ART-52479
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Policy ID: ART-52480
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717
Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
Policy ID: ART-56462

CPT Codes Commonly Billed with D37.01

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

33 linkages
  • 11305 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11404 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11444 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11403 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11442 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11307 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11301 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 17108 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 17111 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD
  • 11420 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD

Convert D37.01 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D37.01 2351 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To D37.01

Other codes in section D37-D48 (Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes).

ICD-10 D37.01, Billing FAQ

Is ICD-10 code D37.01 billable? +

Yes, D37.01 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to D37.01? +

ICD-10 D37.01 includes: Neoplasm of uncertain behavior of vermilion border of lip.

What CPT codes are commonly billed with D37.01? +

Procedures frequently paired with D37.01 include: 11305, 11404, 11444, 11403, 11442.

What ICD-9 codes does D37.01 map to? +

Per CMS GEMs, D37.01 maps to ICD-9 codes: 2351. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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