Is C72.31 a billable ICD-10-CM code?

Yes. C72.31 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C72.31 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).

C72.31

C72.31 — Malignant neoplasm of right optic nerve

Billable / specific codeICD-10-CMright

C72.31 is a billable, specific ICD-10-CM code for malignant neoplasm of right optic nerve. It is valid for submission on a claim.

Risk adjustment

C72.31 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 20 Lung and Other Severe Cancers1.136 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

C72.31 is named in 70 Medicare coverage policies — 70 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A54095Billing and Coding: Nerve Conduction Studies and Electromyography
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A54969Billing and Coding: Nerve Conduction Studies and Electromyography

Related codes at this level

Codes that share C72.3. If C72.31 is not quite right, the correct code is usually one of these.

Questions about C72.31

Is C72.31 a billable ICD-10-CM code?: Yes. C72.31 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C72.31 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).