D16.6
D16.6 — Benign neoplasm of vertebral column
Billable / specific codeICD-10-CM
D16.6 is a billable, specific ICD-10-CM code for benign neoplasm of vertebral column. 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 sacrum and coccyx (D16.8)
Risk adjustment
D16.6 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
D16.6 is named in 10 Medicare coverage policies — 10 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A55315Billing and Coding: Proton Beam Therapy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share D16. If D16.6 is not quite right, the correct code is usually one of these.
- 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
- D16.5Benign neoplasm of lower jaw bone
- 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 D16.6
- Is D16.6 a billable ICD-10-CM code?
- Yes. D16.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D16.6 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 D16.6?
- D16.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.