D14.0 — Benign neoplasm of middle ear, nasal cavity and accessory sinuses
D14.0 is a billable, specific ICD-10-CM code for benign neoplasm of middle ear, nasal cavity and accessory sinuses. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- benign neoplasm of auricular canal (external) (D22.2-, D23.2-)
- benign neoplasm of bone of ear (D16.4)
- benign neoplasm of bone of nose (D16.4)
- benign neoplasm of cartilage of ear (D21.0)
- benign neoplasm of ear (external)(skin) (D22.2-, D23.2-)
- benign neoplasm of nose NOS (D36.7)
- benign neoplasm of skin of nose (D22.39, D23.39)
- benign neoplasm of olfactory bulb (D33.3)
- benign neoplasm of posterior margin of septum and choanae (D10.6)
- polyp of accessory sinus (J33.8)
- polyp of ear (middle) (H74.4)
- polyp of nasal (cavity) (J33.-)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Benign neoplasm of cartilage of nose
Other codes that can never be billed with D14.0
These codes carry an Excludes1 note pointing at D14.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D14.0 alone.
Risk adjustment
D14.0 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
D14.0 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56587Billing and Coding: Cosmetic and Reconstructive Surgery
- A56612Billing and Coding: CT of the Head
How D14.0 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 D14.0.
- Papilloma›Schneiderian›unspecified site
- Schneiderian›papilloma›unspecified site
Related codes at this level
Codes that share D14. If D14.0 is not quite right, the correct code is usually one of these.
Questions about D14.0
- Is D14.0 a billable ICD-10-CM code?
- Yes. D14.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D14.0 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).
- What cannot be coded together with D14.0?
- D14.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.