Is D3A.095 a billable ICD-10-CM code?

Yes. D3A.095 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D3A.095 sit in the tabular list?

Neoplasms (C00-D49), in the block Benign neuroendocrine tumors (D3A).

D3A.095

D3A.095 — Benign carcinoid tumor of the midgut, unspecified

Billable / specific codeICD-10-CM

D3A.095 is a billable, specific ICD-10-CM code for benign carcinoid tumor of the midgut, unspecified. It is valid for submission on a claim.

Risk adjustment

D3A.095 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.095 is named in 8 Medicare coverage policies — 8 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
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56612Billing and Coding: CT of the Head

How D3A.095 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.095.

Tumor›carcinoid›benign›midgut NOS

Related codes at this level

Codes that share D3A.09. If D3A.095 is not quite right, the correct code is usually one of these.

Questions about D3A.095

Is D3A.095 a billable ICD-10-CM code?: Yes. D3A.095 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D3A.095 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neuroendocrine tumors (D3A).