D13.1

D13.1: Benign neoplasm of stomach

Billable / specific codeICD-10-CM

D13.1 is a billable, specific ICD-10-CM code for benign neoplasm of stomach. It is valid for submission on a claim.

Check D13.1 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

benign carcinoid tumor of the stomach (D3A.092)

Excludes1 inherited from the categories above D13.1

A category’s note binds every code beneath it.

Written on D13: Benign neoplasm of other and ill-defined parts of digestive system

benign stromal tumors of digestive system (D21.4)

Other codes that can never be billed with D13.1

Their own Excludes1 notes name this code, so the conflict is not listed above.

K22.82Esophagogastric junction polyp
K31.7Polyp of stomach and duodenum

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D13.1 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52479Oral Anticancer Drugs - Policy Article
A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

Polyp, polypus›stomach›adenomatous

Code history

Unchanged in every release from FY2024 to FY2027.