Is D21.0 a billable ICD-10-CM code?

Yes. D21.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D21.0 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 D21.0?

D21.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

D21.0

D21.0 — Benign neoplasm of connective and other soft tissue of head, face and neck

Billable / specific codeICD-10-CM

D21.0 is a billable, specific ICD-10-CM code for benign neoplasm of connective and other soft tissue of head, face and neck. 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 connective tissue of orbit (D31.6-)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Benign neoplasm of connective tissue of ear
Benign neoplasm of connective tissue of eyelid

Other codes that can never be billed with D21.0

These codes carry an Excludes1 note pointing at D21.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D21.0 alone.

D14.0Benign neoplasm of middle ear, nasal cavity and accessory sinuses
D16Benign neoplasm of bone and articular cartilage
D31Benign neoplasm of eye and adnexa

Risk adjustment

D21.0 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

D21.0 is named in 17 Medicare coverage policies — 17 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
A56464Billing and Coding: Flow Cytometry
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56612Billing and Coding: CT of the Head

Related codes at this level

Codes that share D21. If D21.0 is not quite right, the correct code is usually one of these.

Questions about D21.0

Is D21.0 a billable ICD-10-CM code?: Yes. D21.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D21.0 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 D21.0?: D21.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.