D36.13
D36.13 — Benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hip
Billable / specific codeICD-10-CM
D36.13 is a billable, specific ICD-10-CM code for benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hip. It is valid for submission on a claim.
Risk adjustment
D36.13 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
D36.13 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
Related codes at this level
Codes that share D36.1. If D36.13 is not quite right, the correct code is usually one of these.
- D36.10Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified
- D36.11Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck
- D36.12Benign neoplasm of peripheral nerves and autonomic nervous system, upper limb, including shoulder
- D36.14Benign neoplasm of peripheral nerves and autonomic nervous system of thorax
- D36.15Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen
- D36.16Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
- D36.17Benign neoplasm of peripheral nerves and autonomic nervous system of trunk, unspecified
Questions about D36.13
- Is D36.13 a billable ICD-10-CM code?
- Yes. D36.13 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D36.13 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).