ICD-10 D49.81
Billable / SpecificNeoplasm of unspecified behavior of retina and choroid
About ICD-10-CM D49.81
ICD-10-CM code D49.81 represents Neoplasm of unspecified behavior of retina and choroid. This is a billable/specific code in the Neoplasms chapter (block D49). The 2026 edition of ICD-10-CM D49.81 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D49.81. Per CMS ICD-10-CM Tabular 2026.
- Dark area on retina
- Retinal freckle
Medicare LCD Coverage for D49.81
Local Coverage Determinations (LCDs) from CMS MACs that list D49.81 as a covered diagnosis.
Showing top 10 of 176 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D49.81.
5 Medicare
1 Aetna
CPT Codes Commonly Billed with D49.81
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 92228 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92201 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92202 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92250 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) CMS LCD
- 92227 CMS LCD: Billing and Coding: Ophthalmology: Posterior Segment Imaging (Extended Ophthalmoscopy and Fundus Photography) 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
Convert D49.81 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 |
|---|---|---|
| D49.81 | 23981 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D49.81
Other codes in section D49 (Neoplasms of unspecified behavior).
ICD-10 D49.81, Billing FAQ
Is ICD-10 code D49.81 billable? +
Yes, D49.81 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to D49.81? +
ICD-10 D49.81 includes: Dark area on retina; Retinal freckle.
What CPT codes are commonly billed with D49.81? +
Procedures frequently paired with D49.81 include: 92228, 92201, 92202, 92250, 92227.
What ICD-9 codes does D49.81 map to? +
Per CMS GEMs, D49.81 maps to ICD-9 codes: 23981. 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 July 17, 2026.
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