Is D36.0 a billable ICD-10-CM code?

Yes. D36.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D36.0 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 D36.0?

D36.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

D36.0

D36.0 — Benign neoplasm of lymph nodes

Billable / specific codeICD-10-CM

D36.0 is a billable, specific ICD-10-CM code for benign neoplasm of lymph nodes. 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.

lymphangioma (D18.1)

Risk adjustment

D36.0 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

D36.0 is named in 11 Medicare coverage policies — 11 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56464Billing and Coding: Flow Cytometry
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56695Billing and Coding: Implantable Infusion Pump
A56787Billing and Coding: Nonvascular Extremity Ultrasound

Related codes at this level

Codes that share D36. If D36.0 is not quite right, the correct code is usually one of these.

Questions about D36.0

Is D36.0 a billable ICD-10-CM code?: Yes. D36.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D36.0 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 D36.0?: D36.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.