Is D11.9 a billable ICD-10-CM code?

Yes. D11.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D11.9 sit in the tabular list?

Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).

What cannot be coded together with D11.9?

D11.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D11.9 (D11) and apply to it just the same.

D11.9

D11.9 — Benign neoplasm of major salivary gland, unspecified

Billable / specific codeICD-10-CM

D11.9 is a billable, specific ICD-10-CM code for benign neoplasm of major salivary gland, unspecified. It is valid for submission on a claim.

Excludes1 inherited from the categories above D11.9

These are not written on D11.9, but they bind it: a note on a category applies to every code beneath it. Billing D11.9 with anything listed here is a denial.

Written on D11 — Benign neoplasm of major salivary glands

benign neoplasms of specified minor salivary glands which are classified according to their anatomical location
benign neoplasms of minor salivary glands NOS (D10.39)

Risk adjustment

D11.9 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

D11.9 is named in 8 Medicare coverage policies — 8 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
A56658Billing and Coding: Cosmetic and Reconstructive Surgery
A56695Billing and Coding: Implantable Infusion Pump
A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck

How D11.9 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D11.9.

Adenolymphoma›unspecified site
Adenoma›basal cell
Cystadenoma›papillary›lymphomatosum›unspecified site

Code history

D11.9 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share D11. If D11.9 is not quite right, the correct code is usually one of these.

Questions about D11.9

Is D11.9 a billable ICD-10-CM code?: Yes. D11.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D11.9 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).
What cannot be coded together with D11.9?: D11.9 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D11.9 (D11) and apply to it just the same.