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.
Check D29.1 with the rest of the claim: free scrubberExcludes1: 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
Their own Excludes1 notes name this code, so the conflict is not listed above.
- N40Benign prostatic hyperplasia
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D29.1 is named in 13 Medicare coverage policies: 13 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Alphabetic index entries that lead here
- Fibroadenoma›prostate
- Myoma›prostate
Code history
Unchanged in every release from FY2024 to FY2027.