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D49.0

Billable

Neoplasm of unspecified behavior of digestive system

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

What This Code Means

A tumor or growth of unknown behavior found in the digestive system (including the stomach, intestines, liver, or other digestive organs).

Coding Tips

  • Specify the exact organ within the digestive system if documented (esophagus, stomach, colon, etc.) for more precise coding
  • Review pathology reports to determine if the behavior can be better classified as benign (D1x) or malignant (C1x)

Excludes 1 — Do NOT code together

  • neoplasm of unspecified behavior of margin of anus (D49.2)
  • neoplasm of unspecified behavior of perianal skin (D49.2)
  • neoplasm of unspecified behavior of skin of anus (D49.2)

Code Hierarchy

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