ICD-10 D31.21
Billable / SpecificBenign neoplasm of right retina
About ICD-10-CM D31.21
ICD-10-CM code D31.21 represents Benign neoplasm of right retina. This is a billable/specific code in the Neoplasms chapter (block D31). The 2026 edition of ICD-10-CM D31.21 became effective on October 1, 2025.
Medicare LCD Coverage for D31.21
Local Coverage Determinations (LCDs) from CMS MACs that list D31.21 as a covered diagnosis.
Showing top 10 of 151 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D31.21.
5 Medicare
CPT Codes Commonly Billed with D31.21
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 92235 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
- 92240 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
- 92242 CMS LCD: Billing and Coding: Ophthalmic Angiography (Fluorescein and Indocyanine Green) CMS LCD
- 92228 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92201 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92202 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92250 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92227 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92132 CMS LCD: Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI) CMS LCD
Convert D31.21 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D31.21 | 2245 | 10000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D31.21
Other codes in section D10-D36 (Benign neoplasms, except benign neuroendocrine tumors).
ICD-10 D31.21, Billing FAQ
Is ICD-10 code D31.21 billable? +
Yes, D31.21 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 D31.21? +
Procedures frequently paired with D31.21 include: 92235, 92240, 92242, 92228, 92201.
What ICD-9 codes does D31.21 map to? +
Per CMS GEMs, D31.21 maps to ICD-9 codes: 2245. 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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