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

ICD-10 D41.1

Non-Billable Header

Neoplasm of uncertain behavior of renal pelvis

D41
Block
0
Synonyms
0
LCDs
0
Payer Policies
0
Linked CPTs

About ICD-10-CM D41.1

ICD-10-CM code D41.1 represents Neoplasm of uncertain behavior of renal pelvis. This is a non-billable header code in the Neoplasms chapter (block D41). The 2026 edition of ICD-10-CM D41.1 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.

Medicare LCD Coverage for D41.1

Local Coverage Determinations (LCDs) from CMS MACs that list D41.1 as a covered diagnosis.

No Medicare LCDs reference D41.1 as covered

This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D41.1.

No commercial payer policies reference D41.1 on file

Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but D41.1 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.

CPT Codes Commonly Billed with D41.1

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

No procedure linkages on file for D41.1

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 D41.1, Billing FAQ

Is ICD-10 code D41.1 billable? +

No, D41.1 is a non-billable header code. Use a more specific child code from block D41 when submitting claims.

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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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