D41.9
D41.9 — Neoplasm of uncertain behavior of unspecified urinary organ
Billable / specific codeICD-10-CM
D41.9 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of unspecified urinary organ. It is valid for submission on a claim.
Risk adjustment
D41.9 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
D41.9 is named in 7 Medicare coverage policies — 7 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)
- A57452Billing and Coding: Peripheral Nerve Blocks
- A57452Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D41. If D41.9 is not quite right, the correct code is usually one of these.
- D41.0Neoplasm of uncertain behavior of kidney
- D41.1Neoplasm of uncertain behavior of renal pelvis
- D41.2Neoplasm of uncertain behavior of ureter
- D41.3Neoplasm of uncertain behavior of urethra
- D41.4Neoplasm of uncertain behavior of bladder
- D41.8Neoplasm of uncertain behavior of other specified urinary organs
Questions about D41.9
- Is D41.9 a billable ICD-10-CM code?
- Yes. D41.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D41.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).