D3A.010

D3A.010: Benign carcinoid tumor of the duodenum

Billable / specific codeICD-10-CM

D3A.010 is a billable, specific ICD-10-CM code for benign carcinoid tumor of the duodenum. It is valid for submission on a claim.

Check D3A.010 with the rest of the claim: free scrubber

Excludes2 inherited from the categories above D3A.010

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)

Other codes that can never be billed with D3A.010

Their own Excludes1 notes name this code, so the conflict is not listed above.

D13.2Benign neoplasm of duodenum

Risk adjustment

D3A.010 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.010 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52986Billing and Coding: Biomarkers for Oncology
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56421Billing and Coding: CT of the Abdomen and Pelvis

Alphabetic index entries that lead here

Tumor›carcinoid›benign›duodenum

Code history

Unchanged in every release from FY2024 to FY2027.