Benign neoplasm of unspecified retina

This code signifies the presence of a non-cancerous growth or tumor originating in the retina, the light-sensitive tissue at the back of the eye. It indicates that the specific type or location within the retina has not been further identified or documented.

Use this code when documentation clearly states a benign retinal neoplasm but lacks specificity regarding its exact nature (e.g., choroidal nevus, retinal astrocytoma) or precise location within the retina. This code is appropriate when the physician's diagnosis is "benign retinal tumor, unspecified" or similar.

• Avoid using this code if a more specific benign retinal neoplasm code (e.g., D31.21 for right retina, D31.22 for left retina) can be assigned based on documentation.
• Query the provider for further specificity if the documentation mentions a benign retinal lesion but doesn't explicitly state "unspecified" or if there's ambiguity.
• Ensure the documentation confirms the benign nature of the neoplasm; otherwise, consider codes from the C69 category for malignant neoplasms.