D37.04 ICD-10-CM Code: Neoplasm of uncertain behavior of the minor salivary glands
HCC Buddy Code Card
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FY 2026 Apr update / Neoplasms (C00-D49) / Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
D37.04
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNeoplasm of uncertain behavior of the minor salivary glands
This code describes an abnormal growth in the small salivary glands (found throughout the mouth and throat) that cannot yet be determined to be cancer or benign. These growths require further testing or monitoring to determine their true nature.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
N/A—
Not mapped
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
Official- Neoplasm of uncertain behavior of submucosal salivary glands of lip
- Neoplasm of uncertain behavior of submucosal salivary glands of cheek
- Neoplasm of uncertain behavior of submucosal salivary glands of hard palate
- Neoplasm of uncertain behavior of submucosal salivary glands of soft palate
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D37.04 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D37.04 in this effective period.
Excludes 1
Official- neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D38.0)
- neoplasm of uncertain behavior of epiglottis NOS (D38.0)
- neoplasm of uncertain behavior of skin of lip (D48.5)
- neoplasm of uncertain behavior of suprahyoid portion of epiglottis (D38.0)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D37.04 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D37.04 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D37.04 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is D37.04 an HCC code?
No. D37.04 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
Coder workflow notes
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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
D37.04 is the ICD-10-CM diagnosis code for neoplasm of uncertain behavior of the minor salivary glands. This code describes an abnormal growth in the small salivary glands (found throughout the mouth and throat) that cannot yet be determined to be cancer or benign. These growths require further testing or monitoring to determine their true nature. D37.04 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).
D37.04 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.
Ensure documentation specifies the location of the minor salivary gland involvement, as this affects code selection and clinical management.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D37.04 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Ensure documentation specifies the location of the minor salivary gland involvement, as this affects code selection and clinical management
- •Do not use this code if the neoplasm has been definitively diagnosed as malignant (C-codes) or benign (D1-D3 codes); this code is specifically for uncertain behavior pending further evaluation