D16.20
D16.20: Benign neoplasm of long bones of unspecified lower limb
Billable / specific codeICD-10-CMunspecified
D16.20 is a billable, specific ICD-10-CM code for benign neoplasm of long bones of unspecified lower limb. It is valid for submission on a claim.
Check D16.20 with the rest of the claim: free scrubberExcludes1 inherited from the categories above D16.20
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 D16.20
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
D16.20 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56796Billing and Coding: Lower Extremity Major Joint Replacement (Hip and Knee)
- A57765Billing and Coding: Major Joint Replacement (Hip and Knee)
- A57788Billing and Coding: Peripheral Nerve Blocks
Code history
Unchanged in every release from FY2024 to FY2027.