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

ICD-10 D41.20

Billable / Specific

Neoplasm of uncertain behavior of unspecified ureter

D41
Block
0
Synonyms
36
LCDs
4
Payer Policies
0
Linked CPTs

About ICD-10-CM D41.20

ICD-10-CM code D41.20 represents Neoplasm of uncertain behavior of unspecified ureter. This is a billable/specific code in the Neoplasms chapter (block D41). The 2026 edition of ICD-10-CM D41.20 became effective on October 1, 2025.

Medicare LCD Coverage for D41.20

Local Coverage Determinations (LCDs) from CMS MACs that list D41.20 as a covered diagnosis.

36 LCDs

Showing top 10 of 36 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT Q4081 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0882 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0887 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT Q5106 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT Q5105 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0881 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0890 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0888 →
CMS LCD: Billing and Coding: Erythropoiesis Stimulating Agents
Article ID: 58982, Effective: 2025-04-01 00:00:00, 1078 covered, 0 non-covered
CPT J0885 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57788, Effective: 2025-10-30 00:00:00, 1815 covered, 1 non-covered
CPT 64420 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D41.20.

4 policies

3 Medicare

Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788
Billing and Coding: Erythropoiesis Stimulating Agents
Policy ID: ART-58982
Billing and Coding: Erythropoiesis Stimulating Agents
Policy ID: ART-60380

1 Aetna

Urological Supplies
Policy ID: CPB-0533

CPT Codes Commonly Billed with D41.20

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

No procedure linkages on file for D41.20

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.

Convert D41.20 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D41.20 23691 10000

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

ICD-10 D41.20, Billing FAQ

Is ICD-10 code D41.20 billable? +

Yes, D41.20 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does D41.20 map to? +

Per CMS GEMs, D41.20 maps to ICD-9 codes: 23691. 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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