D15.1
BillableBenign neoplasm of heart
Chapter 2: Neoplasms
Additional Information
From parent codes: C00-D49 (Chapter 2)
NotesFrom C00-D49
Additional notes from parent codes that apply to this code.
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Inpatient DRG Payments
DRG 31425,543 discharges
Other Circulatory System Diagnoses With Mcc
Avg. Medicare Payment
$17,602
Total Payment$21,323
Patient Responsibility$3,721
Hospital Charge$99,413
DRG 3158,781 discharges
Other Circulatory System Diagnoses With Cc
Avg. Medicare Payment
$7,710
Total Payment$10,367
Patient Responsibility$2,657
Hospital Charge$52,030
DRG 31625 discharges
Other Circulatory System Diagnoses Without Cc/mcc
Avg. Medicare Payment
$5,578
Total Payment$7,470
Patient Responsibility$1,892
Hospital Charge$46,733
Chapter Information