Is D29.1 a billable ICD-10-CM code?

Yes. D29.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D29.1 sit in the tabular list?

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

What cannot be coded together with D29.1?

D29.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

D29.1

D29.1 — Benign neoplasm of prostate

Billable / specific codeICD-10-CM

D29.1 is a billable, specific ICD-10-CM code for benign neoplasm of prostate. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

enlarged prostate (N40.-)

Other codes that can never be billed with D29.1

These codes carry an Excludes1 note pointing at D29.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D29.1 alone.

N40Benign prostatic hyperplasia

Risk adjustment

D29.1 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

D29.1 is named in 19 Medicare coverage policies — 19 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52986Billing and Coding: Biomarkers for Oncology
A56467Billing and Coding: Laser Ablation of the Prostate
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56695Billing and Coding: Implantable Infusion Pump

How D29.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D29.1.

Fibroadenoma›prostate
Myoma›prostate

Related codes at this level

Codes that share D29. If D29.1 is not quite right, the correct code is usually one of these.

Questions about D29.1

Is D29.1 a billable ICD-10-CM code?: Yes. D29.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D29.1 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).
What cannot be coded together with D29.1?: D29.1 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.