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.
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
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).