D40.9
D40.9 — Neoplasm of uncertain behavior of male genital organ, unspecified
Billable / specific codeICD-10-CM
D40.9 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of male genital organ, unspecified. It is valid for submission on a claim.
Risk adjustment
D40.9 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
D40.9 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.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A55717Billing and Coding: Lab: Flow Cytometry
- A57044Billing and Coding: Removal of Benign Skin Lesions
- A57452Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D40. If D40.9 is not quite right, the correct code is usually one of these.
Questions about D40.9
- Is D40.9 a billable ICD-10-CM code?
- Yes. D40.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D40.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).