ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D15.1

Billable / Specific

Benign neoplasm of heart

D15
Block
0
Synonyms
348
LCDs
21
Payer Policies
73
Linked CPTs

About ICD-10-CM D15.1

ICD-10-CM code D15.1 represents Benign neoplasm of heart. This is a billable/specific code in the Neoplasms chapter (block D15). The 2026 edition of ICD-10-CM D15.1 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with D15.1. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • benign neoplasm of great vessels (D21.3)

Medicare LCD Coverage for D15.1

Local Coverage Determinations (LCDs) from CMS MACs that list D15.1 as a covered diagnosis.

348 LCDs

Showing top 10 of 348 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93313 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93312 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93318 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93317 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8927 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8925 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93314 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT C8926 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93316 →
CMS LCD: Billing and Coding: Transesophageal Echocardiogram
Article ID: 57179, Effective: 2026-02-26 00:00:00, 421 covered, 1 non-covered
CPT 93315 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D15.1.

21 policies

1 Aetna

Color-Flow Doppler Echocardiography and Myocardial Strain Imaging - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0008

2 Cigna

Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-52868
Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Policy ID: ART-56451
Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-56500
Billing and Coding: Transesophageal Echocardiography (TEE)
Policy ID: ART-56505

CPT Codes Commonly Billed with D15.1

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

73 linkages
  • 93319 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93307 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93351 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93355 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J1250 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93304 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93352 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • J0280 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93318 CMS LCD: Billing and Coding: Echocardiography CMS LCD
  • 93308 CMS LCD: Billing and Coding: Echocardiography CMS LCD

Convert D15.1 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D15.1 2127 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D15.1, Billing FAQ

Is ICD-10 code D15.1 billable? +

Yes, D15.1 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for D15.1? +

Type 1 Excludes (never code together with D15.1): benign neoplasm of great vessels (D21.3)

What CPT codes are commonly billed with D15.1? +

Procedures frequently paired with D15.1 include: 93319, 93307, 93351, 93355, J1250.

What ICD-9 codes does D15.1 map to? +

Per CMS GEMs, D15.1 maps to ICD-9 codes: 2127. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

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