D49.2
BillableNeoplasm of unspecified behavior of bone, soft tissue, and skin
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 4571,710 discharges
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive
Avg. Medicare Payment
$55,967
Total Payment$65,757
Patient Responsibility$9,790
Hospital Charge$320,942
DRG 5651,701 discharges
Other Musculoskeletal System And Connective Tissue Diagnoses With Cc
Avg. Medicare Payment
$7,400
Total Payment$10,350
Patient Responsibility$2,950
Hospital Charge$50,559
DRG 564715 discharges
Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc
Avg. Medicare Payment
$14,263
Total Payment$17,025
Patient Responsibility$2,762
Hospital Charge$84,324
DRG 456318 discharges
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive
Avg. Medicare Payment
$104,193
Total Payment$122,272
Patient Responsibility$18,079
Hospital Charge$547,673
DRG 458119 discharges
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Extensive
Avg. Medicare Payment
$33,026
Total Payment$41,355
Patient Responsibility$8,328
Hospital Charge$186,701
Chapter Information