D37.01 ICD-10-CM Code: Neoplasm of uncertain behavior of lip

D37.01 is the ICD-10-CM diagnosis code for neoplasm of uncertain behavior of lip. A growth on the lip with uncertain behavior, meaning it cannot be definitively classified as benign or malignant and requires further evaluation. D37.01 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (d37-d48).

D37.01 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

This code indicates uncertain behavior; ensure pathology results or clinical documentation support this classification rather than a definitive benign or malignant diagnosis.