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D31.20

D31.20: Benign neoplasm of unspecified retina

Billable / specific codeICD-10-CM

D31.20 is a billable, specific ICD-10-CM code for benign neoplasm of unspecified retina. It is valid for submission on a claim.

Check D31.20 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D31.20

A category’s note binds every code beneath it.

Written on D31.2: Benign neoplasm of retina

  • dark area on retina (D49.81)
  • hemangioma of retina (D49.81)
  • neoplasm of unspecified behavior of retina and choroid (D49.81)
  • retinal freckle (D49.81)

Written on D31: Benign neoplasm of eye and adnexa

  • benign neoplasm of connective tissue of eyelid (D21.0)
  • benign neoplasm of optic nerve (D33.3)
  • benign neoplasm of skin of eyelid (D22.1-, D23.1-)

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D31.20 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A57071Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography)
  • A57637Billing and Coding: Visual Field Examination
  • A57788Billing and Coding: Peripheral Nerve Blocks

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D31.2

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.