D39.0 ICD-10-CM Code: Neoplasm of uncertain behavior of uterus
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FY 2026 Apr update / Neoplasms (C00-D49) / Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
D39.0
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceNeoplasm of uncertain behavior of uterus
A growth in the uterus that cannot yet be classified as definitely benign or cancerous and requires further evaluation.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for D39.0 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D39.0 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D39.0 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D39.0 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D39.0 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D39.0 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D39.0 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 D39.0 an HCC code?
No. D39.0 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
D39.0 is the ICD-10-CM diagnosis code for neoplasm of uncertain behavior of uterus. A growth in the uterus that cannot yet be classified as definitely benign or cancerous and requires further evaluation. D39.0 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).
D39.0 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 is used when pathology results show uncertain behavior; follow up with definitive diagnosis codes once available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D39.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This code is used when pathology results show uncertain behavior; follow up with definitive diagnosis codes once available
- •Document the specific location within the uterus if known (fundus, corpus, cervix) for clinical clarity