D49.81 ICD-10-CM Code: Neoplasm of unspecified behavior of retina and choroid

D49.81 is the ICD-10-CM diagnosis code for neoplasm of unspecified behavior of retina and choroid. This code describes an abnormal growth or tumor in the retina or choroid (the light-sensitive tissue at the back of the eye) where doctors cannot yet determine if it is cancer or benign. It is used when the behavior of the eye growth is uncertain and requires further investigation or monitoring. D49.81 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering neoplasms of unspecified behavior (d49).

D49.81 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use this code only when the pathology report or clinical documentation explicitly states 'unspecified behavior' or when the neoplasm cannot be classified as benign or malignant at the time of coding.