ICD-10 D38
Non-Billable HeaderNeoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs
About ICD-10-CM D38
ICD-10-CM code D38 represents Neoplasm of uncertain behavior of middle ear and respiratory and intrathoracic organs. This is a non-billable header code in the Neoplasms chapter (block D38). The 2026 edition of ICD-10-CM D38 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with D38. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- neoplasm of uncertain behavior of heart (D48.7)
Medicare LCD Coverage for D38
Local Coverage Determinations (LCDs) from CMS MACs that list D38 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D38.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D38 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with D38
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To D38
Other codes in section D37-D48 (Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes).
ICD-10 D38, Billing FAQ
Is ICD-10 code D38 billable? +
No, D38 is a non-billable header code. Use a more specific child code from block D38 when submitting claims.
What codes are Type 1 Excludes for D38? +
Type 1 Excludes (never code together with D38): neoplasm of uncertain behavior of heart (D48.7)
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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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