D16.7
D16.7 — Benign neoplasm of ribs, sternum and clavicle
Billable / specific codeICD-10-CM
D16.7 is a billable, specific ICD-10-CM code for benign neoplasm of ribs, sternum and clavicle. It is valid for submission on a claim.
Risk adjustment
D16.7 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
D16.7 is named in 7 Medicare coverage policies — 7 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
- A57452Billing and Coding: Peripheral Nerve Blocks
Related codes at this level
Codes that share D16. If D16.7 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
- D16.6Benign neoplasm of vertebral column
- D16.8Benign neoplasm of pelvic bones, sacrum and coccyx
- D16.9Benign neoplasm of bone and articular cartilage, unspecified
Questions about D16.7
- Is D16.7 a billable ICD-10-CM code?
- Yes. D16.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D16.7 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).