Is D31.1 a billable ICD-10-CM code?

No. D31.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D31.1 sit in the tabular list?

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

D31.1

D31.1 — Benign neoplasm of cornea

Non-billable headerICD-10-CM

D31.1 is a non-billable header ICD-10-CM code for benign neoplasm of cornea. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

D31.1 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.

Code to one of these instead D31.1

3 child codes. Green means billable.

D31.10Benign neoplasm of unspecified cornea
D31.11Benign neoplasm of right cornea
D31.12Benign neoplasm of left cornea

Related codes at this level

Codes that share D31. If D31.1 is not quite right, the correct code is usually one of these.

D31.0Benign neoplasm of conjunctiva
D31.2Benign neoplasm of retina
D31.3Benign neoplasm of choroid
D31.4Benign neoplasm of ciliary body
D31.5Benign neoplasm of lacrimal gland and duct
D31.6Benign neoplasm of unspecified site of orbit
D31.9Benign neoplasm of unspecified part of eye

Questions about D31.1

Is D31.1 a billable ICD-10-CM code?: No. D31.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D31.1 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).