D10.5
D10.5: Benign neoplasm of other parts of oropharynx
Billable / specific codeICD-10-CM
D10.5 is a billable, specific ICD-10-CM code for benign neoplasm of other parts of oropharynx. It is valid for submission on a claim.
Check D10.5 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Benign neoplasm of epiglottis, anterior aspect
- Benign neoplasm of tonsillar fossa
- Benign neoplasm of tonsillar pillars
- Benign neoplasm of vallecula
Other codes that can never be billed with D10.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D10.5 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56658Billing and Coding: Cosmetic and Reconstructive Surgery
- A56695Billing and Coding: Implantable Infusion Pump
Code history
Unchanged in every release from FY2024 to FY2027.