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D31 ICD-10-CM Code: Benign neoplasm of eye and adnexa

ICD-10-CM Code View

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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)

D31

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Benign neoplasm of eye and adnexa

Benign neoplasm of eye and adnexa

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
D3Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D31Benign neoplasm of eye and adnexa

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D31 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D31 in this effective period.

Related Child Codes

Official
D31.0Benign neoplasm of conjunctiva
D31.1Benign neoplasm of cornea
D31.2Benign neoplasm of retina
D31.3Benign neoplasm of choroid
D31.4Benign neoplasm of ciliary body

Includes

Official

ICD-10-CM does not list Includes notes for D31 in this effective period.

Excludes 1

Official
  • benign neoplasm of connective tissue of eyelid (D21.0)
  • benign neoplasm of optic nerve (D33.3)
  • benign neoplasm of skin of eyelid (D22.1-, D23.1-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D31 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D31 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D31 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Coder workflow notes

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What This Code Means

D31 is the ICD-10-CM diagnosis code for benign neoplasm of eye and adnexa. D31 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

Header codes like D31 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D31's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D31 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • benign neoplasm of connective tissue of eyelid (D21.0)
  • benign neoplasm of optic nerve (D33.3)
  • benign neoplasm of skin of eyelid (D22.1-, D23.1-)

Child Codes

Code Hierarchy

D31Benign neoplasm of eye and adnexa
D31Benign neoplasm of eye and adnexa

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