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D12

D12Benign neoplasm of colon, rectum, anus and anal canal

Non-billable headerICD-10-CM

D12 is a non-billable header ICD-10-CM code for benign neoplasm of colon, rectum, anus and anal canal. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

  • benign carcinoid tumors of the large intestine and rectum (D3A.02-)
  • polyp of colon NOS (K63.5)

Other codes that can never be billed with D12

These codes carry an Excludes1 note pointing at D12. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D12 alone.

  • D23.5Other benign neoplasm of skin of trunk
  • D13.3Benign neoplasm of other and unspecified parts of small intestine
  • K62.1Rectal polyp

Risk adjustment

D12 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.

Code to one of these instead D12

10 child codes. Green means billable.

Questions about D12

Is D12 a billable ICD-10-CM code?
No. D12 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D12 sit in the tabular list?
Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.