D3A.019 — Benign carcinoid tumor of the small intestine, unspecified portion
D3A.019 is a billable, specific ICD-10-CM code for benign carcinoid tumor of the small intestine, unspecified portion. It is valid for submission on a claim.
Risk adjustment
D3A.019 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.019 is named in 11 Medicare coverage policies — 11 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
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56461Billing and Coding: Endoscopy by Capsule
How D3A.019 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.019.
- Tumor›carcinoid›benign›small intestine
Related codes at this level
Codes that share D3A.01. If D3A.019 is not quite right, the correct code is usually one of these.
Questions about D3A.019
- Is D3A.019 a billable ICD-10-CM code?
- Yes. D3A.019 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D3A.019 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neuroendocrine tumors (D3A).