Is D41.3 a billable ICD-10-CM code?

Yes. D41.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D41.3 sit in the tabular list?

Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).

D41.3

D41.3 — Neoplasm of uncertain behavior of urethra

Billable / specific codeICD-10-CM

D41.3 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of urethra. It is valid for submission on a claim.

Risk adjustment

D41.3 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

D41.3 is named in 13 Medicare coverage policies — 13 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 D41. If D41.3 is not quite right, the correct code is usually one of these.

Questions about D41.3

Is D41.3 a billable ICD-10-CM code?: Yes. D41.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D41.3 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).