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

ICD-10 D38.0

Billable / Specific

Neoplasm of uncertain behavior of larynx

D38
Block
2
Synonyms
191
LCDs
17
Payer Policies
15
Linked CPTs

About ICD-10-CM D38.0

ICD-10-CM code D38.0 represents Neoplasm of uncertain behavior of larynx. This is a billable/specific code in the Neoplasms chapter (block D38). The 2026 edition of ICD-10-CM D38.0 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D38.0. Per CMS ICD-10-CM Tabular 2026.

  • Neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold, laryngeal aspect
  • Neoplasm of uncertain behavior of epiglottis (suprahyoid portion)

Type 1 Excludes

Pure excludes, these codes can never be coded together with D38.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold NOS (D37.05)
  • neoplasm of uncertain behavior of hypopharyngeal aspect of aryepiglottic fold (D37.05)
  • neoplasm of uncertain behavior of marginal zone of aryepiglottic fold (D37.05)

Medicare LCD Coverage for D38.0

Local Coverage Determinations (LCDs) from CMS MACs that list D38.0 as a covered diagnosis.

191 LCDs

Showing top 10 of 191 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92524 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96112 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92521 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97130 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97129 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92597 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 97533 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 96110 →
CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders
Article ID: 54111, Effective: 2025-10-01 00:00:00, 1064 covered, 0 non-covered
CPT 92522 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D38.0.

17 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: Speech Language Pathology (SLP) Services: Communication Disorders
Policy ID: ART-54111
Billing and Coding: Lab: Flow Cytometry
Policy ID: ART-55717

1 Aetna

Videostroboscopy
Policy ID: CPB-0305

CPT Codes Commonly Billed with D38.0

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

15 linkages
  • 97130 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92608 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 97129 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92607 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 96110 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92524 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92508 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92597 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 92521 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD
  • 96105 CMS LCD: Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders CMS LCD

Convert D38.0 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D38.0 2356 00000

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

ICD-10 D38.0, Billing FAQ

Is ICD-10 code D38.0 billable? +

Yes, D38.0 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 D38.0? +

ICD-10 D38.0 includes: Neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold, laryngeal aspect; Neoplasm of uncertain behavior of epiglottis (suprahyoid portion).

What codes are Type 1 Excludes for D38.0? +

Type 1 Excludes (never code together with D38.0): neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold NOS (D37.05); neoplasm of uncertain behavior of hypopharyngeal aspect of aryepiglottic fold (D37.05); neoplasm of uncertain behavior of marginal zone of aryepiglottic fold (D37.05)

What CPT codes are commonly billed with D38.0? +

Procedures frequently paired with D38.0 include: 97130, 92608, 97129, 92607, 96110.

What ICD-9 codes does D38.0 map to? +

Per CMS GEMs, D38.0 maps to ICD-9 codes: 2356. 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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