D30.21
D30.21 — Benign neoplasm of right ureter
Billable / specific codeICD-10-CMright
D30.21 is a billable, specific ICD-10-CM code for benign neoplasm of right ureter. It is valid for submission on a claim.
Risk adjustment
D30.21 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
D30.21 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55336Billing and Coding: Retroperitoneal Ultrasound
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
Related codes at this level
Codes that share D30.2. If D30.21 is not quite right, the correct code is usually one of these.
Questions about D30.21
- Is D30.21 a billable ICD-10-CM code?
- Yes. D30.21 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D30.21 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).