Is D43.2 a billable ICD-10-CM code?

Yes. D43.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D43.2 sit in the tabular list?

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

D43.2

D43.2 — Neoplasm of uncertain behavior of brain, unspecified

Billable / specific codeICD-10-CM

D43.2 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of brain, unspecified. It is valid for submission on a claim.

Risk adjustment

D43.2 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.

Medicare coverage

D43.2 is named in 22 Medicare coverage policies — 22 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

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How D43.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D43.2.

Astrocytoma›subependymal
Ependymoma›myxopapillary
Ependymoma›papillary
Glioma›subependymal
Subependymoma›unspecified site
Astrocytoma›subependymal›unspecified site
Ependymoma›myxopapillary›unspecified site
Ependymoma›papillary›unspecified site
Glioma›subependymal›unspecified site
Astrocytoma›subependymal›giant cell›unspecified site

Related codes at this level

Codes that share D43. If D43.2 is not quite right, the correct code is usually one of these.

Questions about D43.2

Is D43.2 a billable ICD-10-CM code?: Yes. D43.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D43.2 sit in the tabular list?: Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).