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D31.42

D31.42: Benign neoplasm of left ciliary body

Billable / specific codeICD-10-CMleft

D31.42 is a billable, specific ICD-10-CM code for benign neoplasm of left ciliary body. It is valid for submission on a claim.

Check D31.42 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D31.42

A category’s note binds every code beneath it.

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

D31.42 is named in 17 Medicare coverage policies: 17 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

  • A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
  • A56464Billing and Coding: Flow Cytometry
  • A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
  • A56551Billing and Coding: Visual Fields Testing

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D31.4

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.