D16.01
D16.01: Benign neoplasm of scapula and long bones of right upper limb
Billable / specific codeICD-10-CMright
D16.01 is a billable, specific ICD-10-CM code for benign neoplasm of scapula and long bones of right upper limb. It is valid for submission on a claim.
Check D16.01 with the rest of the claim: free scrubberExcludes1 inherited from the categories above D16.01
A category’s note binds every code beneath it.
Written on D16: Benign neoplasm of bone and articular cartilage
Other codes that can never be billed with D16.01
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D21Other benign neoplasms of connective and other soft tissue
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D16.01 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55315Billing and Coding: Proton Beam Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57452Billing and Coding: Peripheral Nerve Blocks
Code history
Unchanged in every release from FY2024 to FY2027.