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.
Check D16.6 with the rest of the claim: free scrubberExcludes1: 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)
Excludes1 inherited from the categories above D16.6
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 D16.6
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
D16.6 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
- 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
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
- D16.5Benign 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