D37.6
BillableNeoplasm of uncertain behavior of liver, gallbladder and bile ducts
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 4357,905 discharges
Malignancy Of Hepatobiliary System Or Pancreas With Mcc
Avg. Medicare Payment
$15,237
Total Payment$19,425
Patient Responsibility$4,188
Hospital Charge$103,233
DRG 436908 discharges
Malignancy Of Hepatobiliary System Or Pancreas With Cc
Avg. Medicare Payment
$9,199
Total Payment$12,472
Patient Responsibility$3,273
Hospital Charge$68,480
Chapter Information