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D36.9

Billable

Benign neoplasm, unspecified site

Chapter 2: Neoplasms

Additional Information

From parent codes: C00-D49 (Chapter 2)

NotesFrom C00-D49

Additional notes from parent codes that apply to this code.

  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Inpatient DRG Payments

DRG 827407 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$25,173

Total Payment$32,774
Patient Responsibility$7,601
Hospital Charge$149,565
DRG 829293 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Procedures Wi

Avg. Medicare Payment

$35,720

Total Payment$48,464
Patient Responsibility$12,744
Hospital Charge$230,278
DRG 843121 discharges

Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses With Mc

Avg. Medicare Payment

$23,108

Total Payment$30,173
Patient Responsibility$7,065
Hospital Charge$164,007
DRG 828103 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$15,673

Total Payment$21,496
Patient Responsibility$5,823
Hospital Charge$130,423
DRG 14652 discharges

Ear, Nose, Mouth And Throat Malignancy With Mcc

Avg. Medicare Payment

$24,845

Total Payment$34,462
Patient Responsibility$9,617
Hospital Charge$102,910
DRG 82627 discharges

Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. Procedur

Avg. Medicare Payment

$65,885

Total Payment$90,425
Patient Responsibility$24,539
Hospital Charge$343,689
DRG 14711 discharges

Ear, Nose, Mouth And Throat Malignancy With Cc

Avg. Medicare Payment

$14,946

Total Payment$20,684
Patient Responsibility$5,739
Hospital Charge$33,837