D31: Benign neoplasm of eye and adnexa
Benign neoplasm of eye and adnexa
Quick Clinical & Billing Summary
What is ICD-10-CM code D31? D31 represents Benign neoplasm of eye and adnexa. Under official CDC guidelines, this code is non-billable and requires additional specificity.
Code Hierarchy & Classification
Clinical Guidance & Documentation Standards
Associated Procedures & Medicare RVU Reimbursement
Open RVU Calculator →Typical outpatient and office evaluation procedures frequently billed alongside diagnosis D31:
| CPT/HCPCS | Description | Work RVU | Non-Facility Fee | Facility Fee |
|---|---|---|---|---|
| 99213 | Office/outpatient visit, established patient, 20-29 minutes (Low MDM) | 1.30 | $91.69 | $66.79 |
| 99214 | Office/outpatient visit, established patient, 30-39 minutes (Moderate MDM) | 1.92 | $133.61 | $100.21 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection (subcutaneous/intramuscular) | 0.17 | $18.34 | $12.44 |
CPT Modifier & Billing Rules
Append when a significant, separately identifiable evaluation and management service is provided on the same calendar day as a minor surgical procedure or injection.
Identifies procedures or services not normally reported together but distinct under the clinical circumstances. Use CMS X-modifiers (XE, XS, XP, XU) where required by Medicare.
Frequently Asked Questions about D31
Is D31 a billable ICD-10 code?
No, D31 is a non-billable category code that requires additional digits to specify clinical details.
What is the ICD-10 code for Benign neoplasm of eye and adnexa?
The primary ICD-10-CM code for Benign neoplasm of eye and adnexa is D31.
What is the effective date of the current D31 code?
The code is active for fiscal year FY2027, effective starting 2026-10-01.
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