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D3A.02 ICD-10-CM Code: Benign carcinoid tumors of the appendix, large intestine, and rectum

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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neuroendocrine tumors (D3A)

D3A.02

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

Benign carcinoid tumors of the appendix, large intestine, and rectum

Benign carcinoid tumors of the appendix, large intestine, and rectum

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
D3ABenign neuroendocrine tumors
D3A.0Benign carcinoid tumors
D3A.02Benign carcinoid tumors of the appendix, large intestine, and rectum

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D3A.02 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D3A.02 in this effective period.

Related Child Codes

Official
D3A.020Benign carcinoid tumor of the appendix
D3A.021Benign carcinoid tumor of the cecum
D3A.022Benign carcinoid tumor of the ascending colon
D3A.023Benign carcinoid tumor of the transverse colon
D3A.024Benign carcinoid tumor of the descending colon

Includes

Official

ICD-10-CM does not list Includes notes for D3A.02 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D3A.02 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D3A.02 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D3A.02 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D3A.02 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.

What This Code Means

D3A.02 is the ICD-10-CM diagnosis code for benign carcinoid tumors of the appendix, large intestine, and rectum. D3A.02 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neuroendocrine tumors (d3a).

Header codes like D3A.02 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.02'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.02 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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