D49.511
D49.511 — Neoplasm of unspecified behavior of right kidney
Billable / specific codeICD-10-CMright
D49.511 is a billable, specific ICD-10-CM code for neoplasm of unspecified behavior of right kidney. It is valid for submission on a claim.
Risk adjustment
D49.511 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
D49.511 is named in 28 Medicare coverage policies — 28 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share D49.51. If D49.511 is not quite right, the correct code is usually one of these.
Questions about D49.511
- Is D49.511 a billable ICD-10-CM code?
- Yes. D49.511 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D49.511 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of unspecified behavior (D49).