D47.01

D47.01: Cutaneous mastocytosis

Billable / specific codeICD-10-CM

D47.01 is a billable, specific ICD-10-CM code for cutaneous mastocytosis. It is valid for submission on a claim.

Check D47.01 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

congenital (diffuse) (maculopapular) cutaneous mastocytosis (Q82.2)
congenital urticaria pigmentosa (Q82.2)
extracutaneous mastocytoma (D47.09)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Diffuse cutaneous mastocytosis
Maculopapular cutaneous mastocytosis
Solitary mastocytoma
Telangiectasia macularis eruptiva perstans
Urticaria pigmentosa

Excludes1 inherited from the categories above D47.01

A category’s note binds every code beneath it.

Written on D47.0: Mast cell neoplasms of uncertain behavior

congenital cutaneous mastocytosis (Q82.2)
histiocytic neoplasms of uncertain behavior (D47.Z9)
malignant mast cell neoplasm (C96.2-)

Other codes that can never be billed with D47.01

Their own Excludes1 notes name this code, so the conflict is not listed above.

D89.4Mast cell activation syndrome and related disorders
L50Urticaria
Q82.2Congenital cutaneous mastocytosis

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D47.01 is named in 22 Medicare coverage policies: 22 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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A55717Billing and Coding: Lab: Flow Cytometry
A56199Billing and Coding: Molecular Pathology Procedures
A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions