2017/18 ICD-10-CM Diagnosis Code D3A

Benign neuroendocrine tumors

Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (
    ICD-10-CM Diagnosis Code E34.0

    Carcinoid syndrome

      2016 2017 2018 Billable/Specific Code
    Note
    • May be used as an additional code to identify functional activity associated with a carcinoid tumor.
    E34.0
    )
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • any associated multiple endocrine neoplasia [MEN] syndromes (
    ICD-10-CM Diagnosis Code E31.2

    Multiple endocrine neoplasia [MEN] syndromes

      2016 2017 2018 Non-Billable/Non-Specific Code
    Applicable To
    • Multiple endocrine adenomatosis
    Code Also
    • any associated malignancies and other conditions associated with the syndromes
    E31.2-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (D3A) and the excluded code together.
  • benign pancreatic islet cell tumors (
    ICD-10-CM Diagnosis Code D13.7

    Benign neoplasm of endocrine pancreas

      2016 2017 2018 Billable/Specific Code
    Applicable To
    • Islet cell tumor
    • Benign neoplasm of islets of Langerhans
    Use Additional
    • code to identify any functional activity.
    D13.7
    )
The following code(s) above D3A contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to D3A:
  • C00-D49
    2018 ICD-10-CM Range C00-D49

    Neoplasms

    Note
    • Functional activity
    • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
    • Morphology [Histology]
    • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
    • Primary malignant neoplasms overlapping site boundaries
    • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
    • Malignant neoplasm of ectopic tissue
    • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
    Neoplasms
Clinical Information Code History
ICD-10-CM Codes Adjacent To D3A
D36.10 …… unspecified
D36.11 …… of face, head, and neck
D36.12 …… upper limb, including shoulder
D36.13 …… of lower limb, including hip
D36.14 …… of thorax
D36.15 …… of abdomen
D36.16 …… of pelvis
D36.17 …… of trunk, unspecified
D36.7 Benign neoplasm of other specified sites
D36.9 Benign neoplasm, unspecified site
D3A Benign neuroendocrine tumors
D3A.0 Benign carcinoid tumors
D3A.00 Benign carcinoid tumor of unspecified site
D3A.01 Benign carcinoid tumors of the small intestine
D3A.010 Benign carcinoid tumor of the duodenum
D3A.011 Benign carcinoid tumor of the jejunum
D3A.012 Benign carcinoid tumor of the ileum
D3A.019 Benign carcinoid tumor of the small intestine, unspecified portion
D3A.02 Benign carcinoid tumors of the appendix, large intestine, and rectum
D3A.020 Benign carcinoid tumor of the appendix
D3A.021 Benign carcinoid tumor of the cecum

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.