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D31.9 vs D49.89

D31.9 (Benign neoplasm of unspecified part of eye) compared with D49.89 (Neoplasm of unspecified behavior of other specified sites), from the official CMS tabular data. D31.9 and D49.89 name the same anatomical site (eye) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D31.9
Benign neoplasm of unspecified part of eye
D49.89
Neoplasm of unspecified behavior of other specified sites

Same anatomical site, different neoplasm behavior.

Same site — unspecified behavior (eye)

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. D31.9 and D49.89 name the same anatomical site (eye) 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.

Side by side

D31.9Benign neoplasm of unspecified part of eyeD49.89Neoplasm of unspecified behavior of other specified sites
Billing statusNon-billable header

Report instead: D31.90, D31.91, D31.92

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionBenign neoplasm of unspecified part of eye is a non-billable ICD-10-CM category code (D31.9).Neoplasm of unspecified behavior of other specified sites is a billable ICD-10-CM diagnosis code (D49.89).
Includes
Benign neoplasm of eyeball
'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