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

ICD-10 D37.8

Billable / Specific

Neoplasm of uncertain behavior of other specified digestive organs

D37
Block
6
Synonyms
422
LCDs
26
Payer Policies
24
Linked CPTs

About ICD-10-CM D37.8

ICD-10-CM code D37.8 represents Neoplasm of uncertain behavior of other specified digestive organs. This is a billable/specific code in the Neoplasms chapter (block D37). The 2026 edition of ICD-10-CM D37.8 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D37.8. Per CMS ICD-10-CM Tabular 2026.

  • Neoplasm of uncertain behavior of anal canal
  • Neoplasm of uncertain behavior of anal sphincter
  • Neoplasm of uncertain behavior of anus NOS
  • Neoplasm of uncertain behavior of esophagus
  • Neoplasm of uncertain behavior of intestine NOS
  • Neoplasm of uncertain behavior of pancreas

Type 1 Excludes

Pure excludes, these codes can never be coded together with D37.8. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • neoplasm of uncertain behavior of anal margin (D48.5)
  • neoplasm of uncertain behavior of anal skin (D48.5)
  • neoplasm of uncertain behavior of perianal skin (D48.5)

Medicare LCD Coverage for D37.8

Local Coverage Determinations (LCDs) from CMS MACs that list D37.8 as a covered diagnosis.

422 LCDs

Showing top 10 of 422 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45398 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44392 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45386 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45378 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44390 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45393 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44394 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44401 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 44407 →
CMS LCD: Billing and Coding: Diagnostic Colonoscopy
Article ID: 55937, Effective: 2026-02-04 00:00:00, 244 covered, 1 non-covered
CPT 45391 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D37.8.

26 policies

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: MolDX: bioTheranostics Cancer TYPE ID� Update
Policy ID: ART-53101
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID�
Policy ID: ART-54188

CPT Codes Commonly Billed with D37.8

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

24 linkages
  • 44408 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 45379 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44406 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 45390 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 45392 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44394 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44402 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44390 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44405 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD
  • 44388 CMS LCD: Billing and Coding: Diagnostic Colonoscopy CMS LCD

Convert D37.8 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D37.8 2355 10000

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

ICD-10 D37.8, Billing FAQ

Is ICD-10 code D37.8 billable? +

Yes, D37.8 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 D37.8? +

ICD-10 D37.8 includes: Neoplasm of uncertain behavior of anal canal; Neoplasm of uncertain behavior of anal sphincter; Neoplasm of uncertain behavior of anus NOS, and 3 more clinical synonyms.

What codes are Type 1 Excludes for D37.8? +

Type 1 Excludes (never code together with D37.8): neoplasm of uncertain behavior of anal margin (D48.5); neoplasm of uncertain behavior of anal skin (D48.5); neoplasm of uncertain behavior of perianal skin (D48.5)

What CPT codes are commonly billed with D37.8? +

Procedures frequently paired with D37.8 include: 44408, 45379, 44406, 45390, 45392.

What ICD-9 codes does D37.8 map to? +

Per CMS GEMs, D37.8 maps to ICD-9 codes: 2355. 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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