D21.5

D21.5: Benign neoplasm of connective and other soft tissue of pelvis

Billable / specific codeICD-10-CM

D21.5 is a billable, specific ICD-10-CM code for benign neoplasm of connective and other soft tissue of pelvis. It is valid for submission on a claim.

Check D21.5 with the rest of the claim: free scrubber

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

benign neoplasm of any uterine ligament (D28.2)
uterine leiomyoma (D25.-)

Excludes1 inherited from the categories above D21.5

A category’s note binds every code beneath it.

Written on D21: Other benign neoplasms of connective and other soft tissue

benign neoplasm of articular cartilage (D16.-)
benign neoplasm of cartilage of larynx (D14.1)
benign neoplasm of cartilage of nose (D14.0)
benign neoplasm of connective tissue of breast (D24.-)
benign neoplasm of peripheral nerves and autonomic nervous system (D36.1-)
benign neoplasm of peritoneum (D20.1)
benign neoplasm of retroperitoneum (D20.0)
benign neoplasm of uterine ligament, any (D28.2)
benign neoplasm of vascular tissue (D18.-)
hemangioma (D18.0-)
lipomatous neoplasm (D17.-)
lymphangioma (D18.1)
uterine leiomyoma (D25.-)

Other codes that can never be billed with D21.5

Their own Excludes1 notes name this code, so the conflict is not listed above.

D16Benign neoplasm of bone and articular cartilage

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

D21.5 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56695Billing and Coding: Implantable Infusion Pump

Code history

Unchanged in every release from FY2024 to FY2027.