D31.6

D31.6: Benign neoplasm of unspecified site of orbit

Non-billable headerICD-10-CM

D31.6 is a non-billable header ICD-10-CM code for benign neoplasm of unspecified site of orbit. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

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

benign neoplasm of orbital bone (D16.4)

Inclusion terms

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

Benign neoplasm of connective tissue of orbit
Benign neoplasm of extraocular muscle
Benign neoplasm of peripheral nerves of orbit
Benign neoplasm of retrobulbar tissue
Benign neoplasm of retro-ocular tissue

Excludes1 inherited from the categories above D31.6

A category’s note binds every code beneath it.

Written on D31: Benign neoplasm of eye and adnexa

benign neoplasm of connective tissue of eyelid (D21.0)
benign neoplasm of optic nerve (D33.3)
benign neoplasm of skin of eyelid (D22.1-, D23.1-)

Other codes that can never be billed with D31.6

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

D21.0Benign neoplasm of connective and other soft tissue of head, face and neck
D33Benign neoplasm of brain and other parts of central nervous system
D36.1Benign neoplasm of peripheral nerves and autonomic nervous system

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D31.6

3 child codes. Green means billable.