D10-D36 — Benign neoplasms, except benign neuroendocrine tumors
ICD-10-CM codes D10-D36 cover benign neoplasms, except benign neuroendocrine tumors, within neoplasms. The block holds 313 codes across 27 categories, of which 244 are billable and 69 are header codes that cannot be submitted on a claim.
Risk adjustment in D10-D36
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 23 Prostate, Breast, and Other Cancers and Tumors
What else to watch in D10-D36
- 74 codes are laterality-specific. They come in left and right pairs, and the pair is mutually exclusive on a single site: coding both without a bilateral code is a contradiction a scrubber should catch before the payer does.
- 244 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.
Categories in D10-D36
- D10Benign neoplasm of mouth and pharynx
- D11Benign neoplasm of major salivary glands
- D12Benign neoplasm of colon, rectum, anus and anal canal
- D13Benign neoplasm of other and ill-defined parts of digestive system
- D14Benign neoplasm of middle ear and respiratory system
- D15Benign neoplasm of other and unspecified intrathoracic organs
- D16Benign neoplasm of bone and articular cartilage
- D17Benign lipomatous neoplasm
- D18Hemangioma and lymphangioma, any site
- D19Benign neoplasm of mesothelial tissue
- D20Benign neoplasm of soft tissue of retroperitoneum and peritoneum
- D21Other benign neoplasms of connective and other soft tissue
- D22Melanocytic nevi
- D23Other benign neoplasms of skin
- D24Benign neoplasm of breast
- D25Leiomyoma of uterus
- D26Other benign neoplasms of uterus
- D27Benign neoplasm of ovary
- D28Benign neoplasm of other and unspecified female genital organs
- D29Benign neoplasm of male genital organs
- D30Benign neoplasm of urinary organs
- D31Benign neoplasm of eye and adnexa
- D32Benign neoplasm of meninges
- D33Benign neoplasm of brain and other parts of central nervous system
- D34Benign neoplasm of thyroid gland
- D35Benign neoplasm of other and unspecified endocrine glands
- D36Benign neoplasm of other and unspecified sites