D41.4 — Neoplasm of uncertain behavior of bladder
D41.4 is a billable, specific ICD-10-CM code for neoplasm of uncertain behavior of bladder. It is valid for submission on a claim.
Risk adjustment
D41.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D41.4 is named in 20 Medicare coverage policies — 20 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A53095Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A55028Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
- A55717Billing and Coding: Lab: Flow Cytometry
How D41.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D41.4.
- Papilloma›bladder(urinary) (transitional cell)
- Polyp, polypus›bladder
- Papilloma›transitional›bladder(urinary)
Related codes at this level
Codes that share D41. If D41.4 is not quite right, the correct code is usually one of these.
- D41.0Neoplasm of uncertain behavior of kidney
- D41.1Neoplasm of uncertain behavior of renal pelvis
- D41.2Neoplasm of uncertain behavior of ureter
- D41.3Neoplasm of uncertain behavior of urethra
- D41.8Neoplasm of uncertain behavior of other specified urinary organs
- D41.9Neoplasm of uncertain behavior of unspecified urinary organ
Questions about D41.4
- Is D41.4 a billable ICD-10-CM code?
- Yes. D41.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D41.4 sit in the tabular list?
- Neoplasms (C00-D49), in the block Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48).