D21.20
D21.20 — Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip
Billable / specific codeICD-10-CMunspecified
D21.20 is a billable, specific ICD-10-CM code for benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip. It is valid for submission on a claim.
Risk adjustment
D21.20 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
D21.20 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56695Billing and Coding: Implantable Infusion Pump
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
- A57788Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D21.2. If D21.20 is not quite right, the correct code is usually one of these.
Questions about D21.20
- Is D21.20 a billable ICD-10-CM code?
- Yes. D21.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D21.20 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).