ICD-10 D40.0
Billable / SpecificNeoplasm of uncertain behavior of prostate
About ICD-10-CM D40.0
ICD-10-CM code D40.0 represents Neoplasm of uncertain behavior of prostate. This is a billable/specific code in the Neoplasms chapter (block D40). The 2026 edition of ICD-10-CM D40.0 became effective on October 1, 2025.
Medicare LCD Coverage for D40.0
Local Coverage Determinations (LCDs) from CMS MACs that list D40.0 as a covered diagnosis.
Showing top 10 of 259 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D40.0.
1 Aetna
5 Medicare
CPT Codes Commonly Billed with D40.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 51741 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51728 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51729 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 55899 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51792 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51736 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51726 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51727 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 51797 CMS LCD: Billing and Coding: Urodynamics CMS LCD
- 76873 CMS LCD: Billing and Coding: Transrectal Ultrasound CMS LCD
Convert D40.0 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 |
|---|---|---|
| D40.0 | 2365 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D40.0
Other codes in section D37-D48 (Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes).
ICD-10 D40.0, Billing FAQ
Is ICD-10 code D40.0 billable? +
Yes, D40.0 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 D40.0? +
Procedures frequently paired with D40.0 include: 51741, 51728, 51729, 55899, 51792.
What ICD-9 codes does D40.0 map to? +
Per CMS GEMs, D40.0 maps to ICD-9 codes: 2365. 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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