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

ICD-10 D33.2

Billable / Specific HCC v28: 12

Benign neoplasm of brain, unspecified

D33
Block
0
Synonyms
173
LCDs
19
Payer Policies
10
Linked CPTs

About ICD-10-CM D33.2

ICD-10-CM code D33.2 represents Benign neoplasm of brain, unspecified. This is a billable/specific code in the Neoplasms chapter (block D33). The 2026 edition of ICD-10-CM D33.2 became effective on October 1, 2025.

Coding Tips for D33.2

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

D33.2 is a CMS-HCC v28 risk-adjustment code (category 12). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 12
ESRD-HCC
Category 12
RxHCC (Part D)
Category 12

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for D33.2

Local Coverage Determinations (LCDs) from CMS MACs that list D33.2 as a covered diagnosis.

173 LCDs

Showing top 10 of 173 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77402 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77371 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61797 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT G0339 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77338 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77432 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61800 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77372 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77435 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77407 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D33.2.

19 policies

5 Aetna

Stereotactic Radiosurgery - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0083
Magnetic Resonance Angiography (MRA) and Magnetic Resonance Venography (MRV) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0094
Growth Hormone (GH) and Growth Hormone Antagonists
Policy ID: CPB-0170
Single Photon Emission Computed Tomography (SPECT)
Policy ID: CPB-0376
Functional Magnetic Resonance Imaging
Policy ID: CPB-0739

5 Medicare

Billing and Coding: Scanning Computerized Ophthalmic Diagnostic Imaging (SCODI)
Policy ID: ART-56537
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Thoracic Aortography and Carotid, Vertebral, and Subclavian Angiography
Policy ID: ART-56631
Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695

CPT Codes Commonly Billed with D33.2

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

10 linkages
  • 70553 MRI brain with and without contrast — migraine, headache, encephalopathy, brain cancer, epilepsy, brain neoplasm, cognitive decline, MS, hydrocephalus, aphasia, numbness Radiology
  • 95940 CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing CMS LCD
  • G0453 CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing CMS LCD
  • C8931 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • C8936 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • C8934 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • C8932 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • C8935 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • C8933 CMS LCD: Billing and Coding: Magnetic Resonance Angiography CMS LCD
  • 95941 CMS LCD: Billing and Coding: Intraoperative Neurophysiological Testing CMS LCD

Convert D33.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D33.2 2250 10000

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

ICD-10 D33.2, Billing FAQ

Is ICD-10 code D33.2 billable? +

Yes, D33.2 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does D33.2 affect Medicare Advantage HCC risk adjustment? +

Yes. D33.2 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with D33.2? +

Procedures frequently paired with D33.2 include: 70553, 95940, G0453, C8931, C8936.

What ICD-9 codes does D33.2 map to? +

Per CMS GEMs, D33.2 maps to ICD-9 codes: 2250. 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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