D31.3 (Benign neoplasm of choroid) compared with D49.81 (Neoplasm of unspecified behavior of retina and choroid), from the official CMS tabular data. D31.3 and D49.81 name the same anatomical site (choroid) with a different neoplasm behavior.
Same anatomical site, different neoplasm behavior.
Same site — unspecified behavior (choroid)
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
Same site, different neoplasm behavior. D31.3 and D49.81 name the same anatomical site (choroid) with a different neoplasm behavior.
From the CMS 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.
| D31.3Benign neoplasm of choroid | 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 choroid is a non-billable ICD-10-CM category code (D31.3). | 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