Is D15.1 a billable ICD-10-CM code?

Yes. D15.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D15.1 sit in the tabular list?

Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).

What cannot be coded together with D15.1?

D15.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D15.1 (D15) and apply to it just the same.

D15.1

D15.1 — Benign neoplasm of heart

Billable / specific codeICD-10-CM

D15.1 is a billable, specific ICD-10-CM code for benign neoplasm of heart. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

benign neoplasm of great vessels (D21.3)

Excludes1 inherited from the categories above D15.1

These are not written on D15.1, but they bind it: a note on a category applies to every code beneath it. Billing D15.1 with anything listed here is a denial.

Written on D15 — Benign neoplasm of other and unspecified intrathoracic organs

benign neoplasm of mesothelial tissue (D19.-)

Other codes that can never be billed with D15.1

These codes carry an Excludes1 note pointing at D15.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D15.1 alone.

D21.3Benign neoplasm of connective and other soft tissue of thorax

Risk adjustment

D15.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

D15.1 is named in 23 Medicare coverage policies — 23 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52850Billing and Coding: Cardiac Catheterization and Coronary Angiography
A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56451Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)

Code history

D15.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share D15. If D15.1 is not quite right, the correct code is usually one of these.

Questions about D15.1

Is D15.1 a billable ICD-10-CM code?: Yes. D15.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D15.1 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).
What cannot be coded together with D15.1?: D15.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D15.1 (D15) and apply to it just the same.