D10.9
D10.9 — Benign neoplasm of pharynx, unspecified
Billable / specific codeICD-10-CM
D10.9 is a billable, specific ICD-10-CM code for benign neoplasm of pharynx, unspecified. It is valid for submission on a claim.
Risk adjustment
D10.9 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
D10.9 is named in 7 Medicare coverage policies — 7 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57452Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D10. If D10.9 is not quite right, the correct code is usually one of these.
- D10.0Benign neoplasm of lip
- D10.1Benign neoplasm of tongue
- D10.2Benign neoplasm of floor of mouth
- D10.3Benign neoplasm of other and unspecified parts of mouth
- D10.4Benign neoplasm of tonsil
- D10.5Benign neoplasm of other parts of oropharynx
- D10.6Benign neoplasm of nasopharynx
- D10.7Benign neoplasm of hypopharynx
Questions about D10.9
- Is D10.9 a billable ICD-10-CM code?
- Yes. D10.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D10.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).