Is D36.11 a billable ICD-10-CM code?

Yes. D36.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D36.11 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 D36.11?

D36.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D36.11 (D36.1) and apply to it just the same.

D36.11

D36.11 — Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck

Billable / specific codeICD-10-CM

D36.11 is a billable, specific ICD-10-CM code for benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck. It is valid for submission on a claim.

Excludes1 inherited from the categories above D36.11

These are not written on D36.11, but they bind it: a note on a category applies to every code beneath it. Billing D36.11 with anything listed here is a denial.

Written on D36.1 — Benign neoplasm of peripheral nerves and autonomic nervous system

benign neoplasm of peripheral nerves of orbit (D31.6-)
neurofibromatosis (Q85.0-)

Risk adjustment

D36.11 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

D36.11 is named in 6 Medicare coverage policies — 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56695Billing and Coding: Implantable Infusion Pump
A57452Billing and Coding: Peripheral Nerve Blocks
A57452Billing and Coding: Peripheral Nerve Blocks

Code history

D36.11 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 D36.1. If D36.11 is not quite right, the correct code is usually one of these.

Questions about D36.11

Is D36.11 a billable ICD-10-CM code?: Yes. D36.11 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D36.11 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 D36.11?: D36.11 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D36.11 (D36.1) and apply to it just the same.