D28.1
D28.1 — Benign neoplasm of vagina
Billable / specific codeICD-10-CM
D28.1 is a billable, specific ICD-10-CM code for benign neoplasm of vagina. It is valid for submission on a claim.
Risk adjustment
D28.1 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
D28.1 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.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57113Billing and Coding: Removal of Benign Skin Lesions
Related codes at this level
Codes that share D28. If D28.1 is not quite right, the correct code is usually one of these.
Questions about D28.1
- Is D28.1 a billable ICD-10-CM code?
- Yes. D28.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D28.1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).