Is D13.7 a billable ICD-10-CM code?

Yes. D13.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D13.7 sit in the tabular list?

Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).

D13.7

D13.7 — Benign neoplasm of endocrine pancreas

Billable / specific codeICD-10-CM

D13.7 is a billable, specific ICD-10-CM code for benign neoplasm of endocrine pancreas. It is valid for submission on a claim.

Use additional code

Add a secondary code to capture the detail described below.

code to identify any functional activity.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Islet cell tumor
Benign neoplasm of islets of Langerhans

Other codes that can never be billed with D13.7

These codes carry an Excludes1 note pointing at D13.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D13.7 alone.

D35Benign neoplasm of other and unspecified endocrine glands
D13.6Benign neoplasm of pancreas

Risk adjustment

D13.7 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

D13.7 is named in 14 Medicare coverage policies — 14 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
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

How D13.7 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D13.7.

Islet cell tumor, pancreas
Nesidioblastoma›pancreas
Nesidioblastoma›unspecified site
Adenoma›alpha-cell›pancreas
Adenoma›alpha-cell›unspecified site
Adenoma›beta-cell›pancreas
Adenoma›beta-cell›unspecified site
Adenoma›islet cell›pancreas
Adenoma›islet cell›unspecified site
Glucagonoma›pancreas›benign
Glucagonoma›unspecified site›benign
Insulinoma›pancreas›benign

Related codes at this level

Codes that share D13. If D13.7 is not quite right, the correct code is usually one of these.

Questions about D13.7

Is D13.7 a billable ICD-10-CM code?: Yes. D13.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D13.7 sit in the tabular list?: Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).