D31.2 vs D49.81
D31.2 (Benign neoplasm of retina) compared with D49.81 (Neoplasm of unspecified behavior of retina and choroid), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. D31.2 carries an Excludes1 note covering D49.81: “dark area on retina (D49.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. D31.2 carries an Excludes1 note covering D49.81: “hemangioma of retina (D49.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. D31.2 carries an Excludes1 note covering D49.81: “neoplasm of unspecified behavior of retina and choroid (D49.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
No — do not report together. D31.2 carries an Excludes1 note covering D49.81: “retinal freckle (D49.81)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| D31.2Benign neoplasm of retina | D49.81Neoplasm of unspecified behavior of retina and choroid | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | C00-D49 — Neoplasms (C00-D49) | C00-D49 — Neoplasms (C00-D49) |
| Definition | Benign neoplasm of retina is a non-billable ICD-10-CM category code (D31.2). | Neoplasm of unspecified behavior of retina and choroid is a billable ICD-10-CM diagnosis code (D49.81). |
| Includes | — | 'growth' NOS neoplasm NOS new growth NOS tumor NOS |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources