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

ICD-10 D21.20

Billable / Specific

Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip

D21
Block
0
Synonyms
55
LCDs
5
Payer Policies
6
Linked CPTs

About ICD-10-CM D21.20

ICD-10-CM code D21.20 represents Benign neoplasm of connective and other soft tissue of unspecified lower limb, including hip. This is a billable/specific code in the Neoplasms chapter (block D21). The 2026 edition of ICD-10-CM D21.20 became effective on October 1, 2025.

Medicare LCD Coverage for D21.20

Local Coverage Determinations (LCDs) from CMS MACs that list D21.20 as a covered diagnosis.

55 LCDs

Showing top 10 of 55 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62326 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT E0782 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62367 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT J9200 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62322 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62323 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62355 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT J2274 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT A4220 →
CMS LCD: Billing and Coding: Implantable Infusion Pump
Article ID: 56695, Effective: 2025-10-01 00:00:00, 2017 covered, 0 non-covered
CPT 62350 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D21.20.

5 policies

3 Medicare

Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: Major Joint Replacement (Hip and Knee)
Policy ID: ART-57765
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788

2 Aetna

Magnetic Resonance Imaging (MRI) of the Extremities
Policy ID: CPB-0171
Foot Orthotics
Policy ID: CPB-0451

CPT Codes Commonly Billed with D21.20

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

6 linkages
  • 27134 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27132 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27138 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27137 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27487 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD
  • 27486 CMS LCD: Billing and Coding: Major Joint Replacement (Hip and Knee) CMS LCD

Convert D21.20 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D21.20 2153 10000

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

ICD-10 D21.20, Billing FAQ

Is ICD-10 code D21.20 billable? +

Yes, D21.20 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D21.20? +

Procedures frequently paired with D21.20 include: 27134, 27132, 27138, 27137, 27487.

What ICD-9 codes does D21.20 map to? +

Per CMS GEMs, D21.20 maps to ICD-9 codes: 2153. 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 May 31, 2026.

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