D35.3
D35.3 — Benign neoplasm of craniopharyngeal duct
Billable / specific codeICD-10-CM
D35.3 is a billable, specific ICD-10-CM code for benign neoplasm of craniopharyngeal duct. It is valid for submission on a claim.
Risk adjustment
D35.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
D35.3 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55315Billing and Coding: Proton Beam Therapy
- A56464Billing and Coding: Flow Cytometry
- A56537Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
- A56551Billing and Coding: Visual Fields Testing
Related codes at this level
Codes that share D35. If D35.3 is not quite right, the correct code is usually one of these.
- D35.0Benign neoplasm of adrenal gland
- D35.1Benign neoplasm of parathyroid gland
- D35.2Benign neoplasm of pituitary gland
- D35.4Benign neoplasm of pineal gland
- D35.5Benign neoplasm of carotid body
- D35.6Benign neoplasm of aortic body and other paraganglia
- D35.7Benign neoplasm of other specified endocrine glands
- D35.9Benign neoplasm of endocrine gland, unspecified
Questions about D35.3
- Is D35.3 a billable ICD-10-CM code?
- Yes. D35.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D35.3 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).