Is D21.1 a billable ICD-10-CM code?

No. D21.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D21.1 sit in the tabular list?

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

D21.1

D21.1 — Benign neoplasm of connective and other soft tissue of upper limb, including shoulder

Non-billable headerICD-10-CM

D21.1 is a non-billable header ICD-10-CM code for benign neoplasm of connective and other soft tissue of upper limb, including shoulder. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

D21.1 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.

Code to one of these instead D21.1

3 child codes. Green means billable.

Related codes at this level

Codes that share D21. If D21.1 is not quite right, the correct code is usually one of these.

Questions about D21.1

Is D21.1 a billable ICD-10-CM code?: No. D21.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D21.1 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).