D16.5
D16.5: Benign neoplasm of lower jaw bone
Billable / specific codeICD-10-CM
D16.5 is a billable, specific ICD-10-CM code for benign neoplasm of lower jaw bone. It is valid for submission on a claim.
Check D16.5 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Keratocyst of mandible
- Keratocystic odontogenic tumor of mandible
Excludes1 inherited from the categories above D16.5
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 D16.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D16.5 is named in 8 Medicare coverage policies: 8 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55315Billing and Coding: Proton Beam Therapy
- A56464Billing and Coding: Flow Cytometry
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
Alphabetic index entries that lead here
- Cyst›calcifying odontogenic
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D16
- D16.0Benign neoplasm of scapula and long bones of upper limb
- 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
- D16.6Benign 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