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).

What cannot be coded together with D30.21?

D30.21 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D30.21 (D30.2) and apply to it just the same.

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.

Excludes1 inherited from the categories above D30.21

These are not written on D30.21, but they bind it: a note on a category applies to every code beneath it. Billing D30.21 with anything listed here is a denial.

Written on D30.2 — Benign neoplasm of ureter

benign neoplasm of ureteric orifice of bladder (D30.3)

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

Code history

D30.21 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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).
What cannot be coded together with D30.21?: D30.21 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D30.21 (D30.2) and apply to it just the same.