D30.4
D30.4 — Benign neoplasm of urethra
Billable / specific codeICD-10-CM
D30.4 is a billable, specific ICD-10-CM code for benign neoplasm of urethra. 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.
- benign neoplasm of urethral orifice of bladder (D30.3)
Risk adjustment
D30.4 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
D30.4 is named in 7 Medicare coverage policies — 7 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
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57452Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D30. If D30.4 is not quite right, the correct code is usually one of these.
Questions about D30.4
- Is D30.4 a billable ICD-10-CM code?
- Yes. D30.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D30.4 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 D30.4?
- D30.4 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.