D20.1 — Benign neoplasm of soft tissue of peritoneum
D20.1 is a billable, specific ICD-10-CM code for benign neoplasm of soft tissue of peritoneum. It is valid for submission on a claim.
Other codes that can never be billed with D20.1
These codes carry an Excludes1 note pointing at D20.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D20.1 alone.
- D21Other benign neoplasms of connective and other soft tissue
Risk adjustment
D20.1 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
D20.1 is named in 9 Medicare coverage policies — 9 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Related codes at this level
Codes that share D20. If D20.1 is not quite right, the correct code is usually one of these.
Questions about D20.1
- Is D20.1 a billable ICD-10-CM code?
- Yes. D20.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D20.1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).