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.

Check D13.7 with the rest of the claim: free scrubber

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

Excludes1 inherited from the categories above D13.7

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 D13.7

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

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

Risk adjustment

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

Medicare coverage

D13.7 is named in 12 Medicare coverage policies: 12 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
A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax

Alphabetic index entries that lead here

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

Code history

Unchanged in every release from FY2024 to FY2027.