ICDcodes.org
FY2027

D3A.095Benign carcinoid tumor of the midgut, unspecified

BillableUnspecified

Is D3A.095 billable?

Yes, but D3A.095 is an unspecified code. D3A.095 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, D3A.095 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting D3A.095 — the more specific alternatives are listed below.

D3A.095 at a glance

CodeD3A.095
DescriptionBenign carcinoid tumor of the midgut, unspecified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does D3A.095 group to?

D3A.095 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.

  • 393Other Digestive System Diagnoses with MCCmedical
  • 394Other Digestive System Diagnoses with CCmedical
  • 395Other Digestive System Diagnoses without CC/MCCmedical

How is D3A.095 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to D3A.095. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Tumorcarcinoidbenignmidgut NOS

Use additional code — inherited from D3A

Report an additional code alongside D3A.095 to fully describe the condition. D3A.095 is sequenced first.

  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (E34.00)

Excludes2 — not included here — inherited from D3A

The conditions below are not part of D3A.095, but a patient may have both at the same time. When documentation supports it, D3A.095 and the excluded code may both be reported.

  • benign pancreatic islet cell tumors (D13.7)

Code also — inherited from D3A

Two codes may be needed to describe the condition fully. Whether D3A.095 is sequenced first depends on the reason for the encounter.

  • any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

How long has D3A.095 existed?

D3A.095 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Description changes
  • FY2018
    Benign carcinoid tumor of the midgut NOS
    Benign carcinoid tumor of the midgut, unspecified

Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.

What other codes are in the D3A.09 family? (7)