D40.11
D40.11 — Neoplasm of uncertain behavior of right testis
Billable / specific codeICD-10-CMright
D40.11 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of right testis. It is valid for submission on a claim.
Risk adjustment
D40.11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D40.11 is named in 14 Medicare coverage policies — 14 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
Related codes at this level
Codes that share D40.1. If D40.11 is not quite right, the correct code is usually one of these.
Questions about D40.11
- Is D40.11 a billable ICD-10-CM code?
- Yes. D40.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D40.11 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).