D3A.010 — Benign carcinoid tumor of the duodenum
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.
Other codes that can never be billed with D3A.010
These codes carry an Excludes1 note pointing at D3A.010. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D3A.010 alone.
- 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.
Medicare coverage
D3A.010 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How D3A.010 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D3A.010.
- Tumor›carcinoid›benign›duodenum
Related codes at this level
Codes that share D3A.01. If D3A.010 is not quite right, the correct code is usually one of these.
Questions about D3A.010
- Is D3A.010 a billable ICD-10-CM code?
- Yes. D3A.010 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D3A.010 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neuroendocrine tumors (D3A).