Non-Billable / Non-Specific Code
ICD-10-CM D37.0 is the diagnosis code for Neoplasm of uncertain behavior of lip, oral cavity and pharynx. This code falls under the section "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
The following conditions should never be coded at the same time as D37.0. They are mutually exclusive:
Understanding where D37.0 sits in the ICD-10-CM classification helps ensure proper coding:
No, D37.0 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
D37.0 is the ICD-10-CM diagnosis code for "Neoplasm of uncertain behavior of lip, oral cavity and pharynx". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of D37.0 is D37 ("Neoplasm of uncertain behavior of oral cavity and digestive organs"). D37.0 provides a more specific classification within this category.
D37.0 is located in Section D37-D48 — "Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes" within Chapter 2 of the ICD-10-CM Tabular List.
D37.0 has 6 sub-code(s) that provide more specific detail: D37.01, D37.02, D37.03, D37.04, D37.05 and more.
Use D37.0 when the patients documented diagnosis matches "Neoplasm of uncertain behavior of lip, oral cavity and pharynx" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Neoplasm of uncertain behavior of lip, oral cavity and pharynx is D37.0.
No, D37.0 is non-billable. Use a more specific sub-code for primary diagnosis billing.
D37.0 is in Chapter 2 of the ICD-10-CM Tabular List.
Type 1 Excludes for D37.0 include: neoplasm of uncertain behavior of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D38.0); neoplasm of uncertain behavior of epiglottis NOS (D38.0); neoplasm of uncertain behavior of skin of lip (D48.5) and more.
Yes, D37.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.