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.

Check D15.1 with the rest of the claim: free scrubber

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

A category’s note binds every code beneath it.

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

Their own Excludes1 notes name this code, so the conflict is not listed above.

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

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D15.1 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography

Code history

Unchanged in every release from FY2024 to FY2027.