D13.99
D13.99 — Benign neoplasm of ill-defined sites within the digestive system
Billable / specific codeICD-10-CM
D13.99 is a billable, specific ICD-10-CM code for benign neoplasm of ill-defined sites within the digestive system. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Benign neoplasm of digestive system NOS
- Benign neoplasm of intestine NOS
- Benign neoplasm of spleen
Risk adjustment
D13.99 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
D13.99 is named in 8 Medicare coverage policies — 8 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56531Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin® LAR Depot)
- 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 D13.9. If D13.99 is not quite right, the correct code is usually one of these.
Questions about D13.99
- Is D13.99 a billable ICD-10-CM code?
- Yes. D13.99 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D13.99 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).