D3A.095 — Benign carcinoid tumor of the midgut, unspecified
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
| Code | D3A.095 |
|---|---|
| Description | Benign carcinoid tumor of the midgut, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 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.
- Tumor › carcinoid › benign › midgut 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.
- FY2018Benign carcinoid tumor of the midgut NOSBenign 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)
- D3A.090Benign carcinoid tumor of the bronchus and lung
- D3A.091Benign carcinoid tumor of the thymus
- D3A.092Benign carcinoid tumor of the stomach
- D3A.093Benign carcinoid tumor of the kidney
- D3A.094Benign carcinoid tumor of the foregut, unspecified
- D3A.096Benign carcinoid tumor of the hindgut, unspecified
- D3A.098Benign carcinoid tumors of other sites