D48.0 ICD-10-CM Code: Neoplasm of uncertain behavior of bone and articular cartilage

D48.0 is the ICD-10-CM diagnosis code for neoplasm of uncertain behavior of bone and articular cartilage. A tumor of bone or cartilage that has uncertain behavior, meaning it is not clearly benign or malignant and requires careful monitoring. D48.0 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).

D48.0 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.

Use this code when pathology reports indicate uncertain behavior rather than clearly benign or malignant tumors.