D13.6

D13.6: Benign neoplasm of pancreas

Billable / specific codeICD-10-CM

D13.6 is a billable, specific ICD-10-CM code for benign neoplasm of pancreas. It is valid for submission on a claim.

Check D13.6 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 neoplasm of endocrine pancreas (D13.7)

Excludes1 inherited from the categories above D13.6

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)

Risk adjustment

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

Medicare coverage

D13.6 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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
A56695Billing and Coding: Implantable Infusion Pump

Alphabetic index entries that lead here

Adenoma›microcystic›pancreas
Adenoma›microcystic›unspecified site

Code history

Unchanged in every release from FY2024 to FY2027.