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

ICD-10 D49.4

Billable / Specific

Neoplasm of unspecified behavior of bladder

D49
Block
0
Synonyms
229
LCDs
19
Payer Policies
14
Linked CPTs

About ICD-10-CM D49.4

ICD-10-CM code D49.4 represents Neoplasm of unspecified behavior of bladder. This is a billable/specific code in the Neoplasms chapter (block D49). The 2026 edition of ICD-10-CM D49.4 became effective on October 1, 2025.

Medicare LCD Coverage for D49.4

Local Coverage Determinations (LCDs) from CMS MACs that list D49.4 as a covered diagnosis.

229 LCDs

Showing top 10 of 229 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D49.4.

19 policies

5 Medicare

Billing and Coding: Biomarkers for Oncology
Policy ID: ART-52986
Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
Policy ID: ART-53095
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
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID� Update
Policy ID: ART-54386

CPT Codes Commonly Billed with D49.4

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

14 linkages
  • 88120 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
  • 86386 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
  • 86294 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
  • 86316 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
  • 88121 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
  • 51741 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51728 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51729 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 55899 CMS LCD: Billing and Coding: Urodynamics CMS LCD
  • 51792 CMS LCD: Billing and Coding: Urodynamics CMS LCD

Convert D49.4 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D49.4 2394 00000

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

ICD-10 D49.4, Billing FAQ

Is ICD-10 code D49.4 billable? +

Yes, D49.4 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D49.4? +

Procedures frequently paired with D49.4 include: 88120, 86386, 86294, 86316, 88121.

What ICD-9 codes does D49.4 map to? +

Per CMS GEMs, D49.4 maps to ICD-9 codes: 2394. 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 June 1, 2026.

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