Skip to main content

C69.0 vs D31.0

C69.0 (Malignant neoplasm of conjunctiva) compared with D31.0 (Benign neoplasm of conjunctiva), from the official CMS tabular data. C69.0 and D31.0 name the same anatomical site (conjunctiva) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C69.0
Malignant neoplasm of conjunctiva
D31.0
Benign neoplasm of conjunctiva

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (conjunctiva)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. C69.0 and D31.0 name the same anatomical site (conjunctiva) with a different neoplasm behavior.

From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

C69.0Malignant neoplasm of conjunctivaD31.0Benign neoplasm of conjunctiva
Billing statusNon-billable header

Report instead: C69.00, C69.01, C69.02

Non-billable header

Report instead: D31.00, D31.01, D31.02

ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionMalignant neoplasm of conjunctiva is a non-billable ICD-10-CM category code (C69.0).Benign neoplasm of conjunctiva is a non-billable ICD-10-CM category code (D31.0).

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources