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D37.05

Billable

Neoplasm of uncertain behavior of pharynx

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

This code describes an abnormal growth in the pharynx (throat) that cannot yet be determined to be cancer or benign. The growth requires further testing or monitoring to establish its true nature.

Coding Tips

  • Ensure documentation specifies the location within the pharynx (nasopharynx, oropharynx, laryngopharynx) if available, as this may affect treatment planning
  • Do not use this code if the neoplasm has been definitively diagnosed as malignant (C-codes) or benign (D10-D36 codes); this code is specifically for uncertain behavior lesions pending further evaluation

Code Hierarchy

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