D3A.098 — Benign carcinoid tumors of other sites
D3A.098 is a billable, specific ICD-10-CM code for benign carcinoid tumors of other sites. It is valid for submission on a claim.
Risk adjustment
D3A.098 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.098 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.098 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.098.
- Tumor›carcinoid›benign›specified NEC
Related codes at this level
Codes that share D3A.09. If D3A.098 is not quite right, the correct code is usually one of these.
- D3A.090Benign carcinoid tumor of the bronchus and lung
- D3A.091Benign carcinoid tumor of the thymus
- D3A.092Benign carcinoid tumor of the stomach
- D3A.093Benign carcinoid tumor of the kidney
- D3A.094Benign carcinoid tumor of the foregut, unspecified
- D3A.095Benign carcinoid tumor of the midgut, unspecified
- D3A.096Benign carcinoid tumor of the hindgut, unspecified
Questions about D3A.098
- Is D3A.098 a billable ICD-10-CM code?
- Yes. D3A.098 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D3A.098 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neuroendocrine tumors (D3A).