D3A ICD-10-CM Code: Benign neuroendocrine tumors
D3A is not a CMS-HCC payment code. MEAT criteria · RAF calculator · free HCC coding tools
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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neuroendocrine tumors (D3A)
D3A
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceBenign neuroendocrine tumors
Benign neuroendocrine tumors
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
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for D3A in this effective period.
Excludes 2
Official- benign pancreatic islet cell tumors (D13.7)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D3A in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D3A in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D3A in this effective period.
Use Additional
Official- code to identify any associated endocrine syndrome, such as:
- carcinoid syndrome (E34.00)
Code Also
Official- any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)
Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →
- Code
- D3A
- Description
- Benign neuroendocrine tumors
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- No
- Payment year
- 2026
Coder workflow notes
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What This Code Means
D3A is the ICD-10-CM diagnosis code for benign neuroendocrine tumors. D3A sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neuroendocrine tumors (d3a).
Header codes like D3A 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 D3A'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 D3A sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 2, Not included here, may code separately
- benign pancreatic islet cell tumors (D13.7)
Use Additional Code
- code to identify any associated endocrine syndrome, such as:
- carcinoid syndrome (E34.00)
Code Also
- any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

