D31.61
D31.61 — Benign neoplasm of unspecified site of right orbit
Billable / specific codeICD-10-CMright
D31.61 is a billable, specific ICD-10-CM code for benign neoplasm of unspecified site of right orbit. It is valid for submission on a claim.
Risk adjustment
D31.61 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
D31.61 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56464Billing and Coding: Flow Cytometry
- A56551Billing and Coding: Visual Fields Testing
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56612Billing and Coding: CT of the Head
Related codes at this level
Codes that share D31.6. If D31.61 is not quite right, the correct code is usually one of these.
Questions about D31.61
- Is D31.61 a billable ICD-10-CM code?
- Yes. D31.61 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D31.61 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).