D41.20
D41.20 — Neoplasm of uncertain behavior of unspecified ureter
Billable / specific codeICD-10-CM
D41.20 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of unspecified ureter. It is valid for submission on a claim.
Risk adjustment
D41.20 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
D41.20 is named in 5 Medicare coverage policies — 5 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A57788Billing and Coding: Peripheral Nerve Blocks
- A57788Billing and Coding: Peripheral Nerve Blocks
- A58982Billing and Coding: Erythropoiesis Stimulating Agents
- A60380Billing and Coding: Erythropoiesis Stimulating Agents
Code history
D41.20 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D41.2. If D41.20 is not quite right, the correct code is usually one of these.
Questions about D41.20
- Is D41.20 a billable ICD-10-CM code?
- Yes. D41.20 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D41.20 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).