Other neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
In Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48), chapter 2: Neoplasms
11 billable codes under D47: 8 are a CC; 7 map to HCC 21 (Lymphoma and Other Cancers), HCC 19 (Myelodysplastic Syndromes, Multiple Myeloma, and Other Cancers), HCC 23 (Prostate, Breast, and Other Cancers and Tumors).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Also applies, from Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)
These notes sit on D37-D48 and apply to every code under it, including D47.
Excludes1: not coded here, use a different code
- neoplasms of unspecified behavior (D49.-)
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.
- Admission/Encounter for treatment of primary site (page 33)
- Admission/Encounter for treatment of secondary site (page 33)
- Coding and sequencing of complications (page 34)
- Primary malignancy previously excised (page 34)
- Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
- Admission/encounter to determine extent of malignancy (page 36)
- Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
- Admission/encounter for pain control/management (page 36)
All codes under D47
D47 can't be used on a claim. Pick a billable code below; grey headings group them.
- D47.0Mast cell neoplasms of uncertain behavior
- D47.01Cutaneous mastocytosis
- D47.02Systemic mastocytosis
- D47.09Other mast cell neoplasms of uncertain behavior
- D47.1Chronic myeloproliferative disease
- D47.2Monoclonal gammopathy
- D47.3Essential (hemorrhagic) thrombocythemia
- D47.4Osteomyelofibrosis
- D47.9Neoplasm of uncertain behavior of lymphoid, hematopoietic and related tissue, unspecified
- D47.ZOther specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
- D47.Z1Post-transplant lymphoproliferative disorder (PTLD)
- D47.Z2Castleman disease
- D47.Z9Other specified neoplasms of uncertain behavior of lymphoid, hematopoietic and related tissue
D47 MS-DRGs
As the principal diagnosis, the billable codes under D47 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 820 Lymphoma and Leukemia with Major O.R. Procedures with MCC (7 of 11 codes)
- DRG 821 Lymphoma and Leukemia with Major O.R. Procedures with CC (7 of 11 codes)
- DRG 822 Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC (7 of 11 codes)
- DRG 823 Lymphoma and Non-Acute Leukemia with Other Procedures with MCC (7 of 11 codes)
- DRG 824 Lymphoma and Non-Acute Leukemia with Other Procedures with CC (7 of 11 codes)
- DRG 825 Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC (7 of 11 codes)
- DRG 840 Lymphoma and Non-Acute Leukemia with MCC (7 of 11 codes)
- DRG 841 Lymphoma and Non-Acute Leukemia with CC (7 of 11 codes)
- DRG 842 Lymphoma and Non-Acute Leukemia without CC/MCC (7 of 11 codes)
- DRG 814 Reticuloendothelial and Immunity Disorders with MCC (3 of 11 codes)
- DRG 815 Reticuloendothelial and Immunity Disorders with CC (3 of 11 codes)
- DRG 816 Reticuloendothelial and Immunity Disorders without CC/MCC (3 of 11 codes)
- DRG 919 Complications of Treatment with MCC (1 of 11 codes)
- DRG 920 Complications of Treatment with CC (1 of 11 codes)
- DRG 921 Complications of Treatment without CC/MCC (1 of 11 codes)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Blood Disorders
Your blood is living tissue made up of liquid and solids. The liquid part, called plasma, is made of water, salts and protein. Over half of your blood is plasma. The solid part of your blood contains red blood cells, white blood cells and platelets.
Read more about blood disorders on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
