D35.5
D35.5 — Benign neoplasm of carotid body
Billable / specific codeICD-10-CM
D35.5 is a billable, specific ICD-10-CM code for benign neoplasm of carotid body. It is valid for submission on a claim.
Risk adjustment
D35.5 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
D35.5 is named in 14 Medicare coverage policies — 14 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
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A56747Billing and Coding: Magnetic Resonance Angiography (MRA)
Related codes at this level
Codes that share D35. If D35.5 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
- D35.3Benign neoplasm of craniopharyngeal duct
- D35.4Benign neoplasm of pineal gland
- 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 D35.5
- Is D35.5 a billable ICD-10-CM code?
- Yes. D35.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D35.5 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).