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D37.3

Billable

Neoplasm of uncertain behavior of appendix

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 appendix that cannot yet be determined to be either cancer or a benign (non-cancerous) tumor. It represents a condition requiring further investigation or monitoring to establish its true nature.

Coding Tips

  • Use this code when pathology reports indicate uncertain or indeterminate behavior of appendiceal lesions, not when the tumor is definitively benign (D12.3) or malignant (C18.1)
  • Ensure documentation supports the uncertain nature of the neoplasm; if subsequent testing clarifies the diagnosis, update coding to the appropriate benign or malignant code

Code Hierarchy

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