D3A.00

D3A.00: Benign carcinoid tumor of unspecified site

Billable / specific codeICD-10-CM

D3A.00 is a billable, specific ICD-10-CM code for benign carcinoid tumor of unspecified site. It is valid for submission on a claim.

Check D3A.00 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Carcinoid tumor NOS

Excludes2 inherited from the categories above D3A.00

Not part of this code, but both may be coded when both are present.

Written on D3A: Benign neuroendocrine tumors

benign pancreatic islet cell tumors (D13.7)

Risk adjustment

D3A.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 22 Bladder, Colorectal, and Other Cancers0.363 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

D3A.00 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56612Billing and Coding: CT of the Head

Alphabetic index entries that lead here

Tumor›carcinoid
Tumor›carcinoid›benign

Code history

Unchanged in every release from FY2024 to FY2027.