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

ICD-10 D3A.019

Billable / Specific

Benign carcinoid tumor of the small intestine, unspecified portion

D3A
Block
0
Synonyms
170
LCDs
9
Payer Policies
1
Linked CPTs

About ICD-10-CM D3A.019

ICD-10-CM code D3A.019 represents Benign carcinoid tumor of the small intestine, unspecified portion. This is a billable/specific code in the Neoplasms chapter (block D3A). The 2026 edition of ICD-10-CM D3A.019 became effective on October 1, 2025.

Medicare LCD Coverage for D3A.019

Local Coverage Determinations (LCDs) from CMS MACs that list D3A.019 as a covered diagnosis.

170 LCDs

Showing top 10 of 170 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Wireless Capsule Endoscopy
Article ID: 56727, Effective: 2025-10-01 00:00:00, 88 covered, 0 non-covered
CPT 91111 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D3A.019.

9 policies

5 Medicare

Billing and Coding: Biomarkers for Oncology
Policy ID: ART-52986
Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Policy ID: ART-56394
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Endoscopy by Capsule
Policy ID: ART-56461
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580

CPT Codes Commonly Billed with D3A.019

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

1 linkages
  • 91299 CMS LCD: Billing and Coding: Endoscopy by Capsule CMS LCD

Convert D3A.019 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D3A.019 20940 00000

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

ICD-10 D3A.019, Billing FAQ

Is ICD-10 code D3A.019 billable? +

Yes, D3A.019 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 D3A.019? +

Procedures frequently paired with D3A.019 include: 91299.

What ICD-9 codes does D3A.019 map to? +

Per CMS GEMs, D3A.019 maps to ICD-9 codes: 20940. 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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