D16.0
D16.0 — Benign neoplasm of scapula and long bones of upper limb
Non-billable headerICD-10-CM
D16.0 is a non-billable header ICD-10-CM code for benign neoplasm of scapula and long bones of upper limb. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
D16.0 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.
Code to one of these instead D16.0
3 child codes. Green means billable.
Related codes at this level
Codes that share D16. If D16.0 is not quite right, the correct code is usually one of these.
- D16.1Benign neoplasm of short bones of upper limb
- D16.2Benign neoplasm of long bones of lower limb
- D16.3Benign neoplasm of short bones of lower limb
- D16.4Benign neoplasm of bones of skull and face
- D16.5Benign neoplasm of lower jaw bone
- D16.6Benign neoplasm of vertebral column
- D16.7Benign neoplasm of ribs, sternum and clavicle
- D16.8Benign neoplasm of pelvic bones, sacrum and coccyx
- D16.9Benign neoplasm of bone and articular cartilage, unspecified
Questions about D16.0
- Is D16.0 a billable ICD-10-CM code?
- No. D16.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D16.0 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).