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 Excludes1 notes, which means the conditions they list 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 10 Medicare coverage policies — 10 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

Code history

D36.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

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 Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter.