D13.0 — Benign neoplasm of esophagus
D13.0 is a billable, specific ICD-10-CM code for benign neoplasm of esophagus. It is valid for submission on a claim.
Excludes1 inherited from the categories above D13.0
These are not written on D13.0, but they bind it: a note on a category applies to every code beneath it. Billing D13.0 with anything listed here is a denial.
Other codes that can never be billed with D13.0
These codes carry an Excludes1 note pointing at D13.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D13.0 alone.
- K22.81Esophageal polyp
Risk adjustment
D13.0 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
D13.0 is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Code history
D13.0 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 D13. If D13.0 is not quite right, the correct code is usually one of these.
- D13.1Benign neoplasm of stomach
- D13.2Benign neoplasm of duodenum
- D13.3Benign neoplasm of other and unspecified parts of small intestine
- D13.4Benign neoplasm of liver
- D13.5Benign neoplasm of extrahepatic bile ducts
- D13.6Benign neoplasm of pancreas
- D13.7Benign neoplasm of endocrine pancreas
- D13.9Benign neoplasm of ill-defined sites within the digestive system
Questions about D13.0
- Is D13.0 a billable ICD-10-CM code?
- Yes. D13.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D13.0 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 D13.0?
- D13.0 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 D13.0 (D13) and apply to it just the same.