D36.7 — Benign neoplasm of other specified sites
D36.7 is a billable, specific ICD-10-CM code for benign neoplasm of other specified sites. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Benign neoplasm of back NOS
- Benign neoplasm of nose NOS
Other codes that can never be billed with D36.7
These codes carry an Excludes1 note pointing at D36.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D36.7 alone.
- D14.0Benign neoplasm of middle ear, nasal cavity and accessory sinuses
Risk adjustment
D36.7 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
D36.7 is named in 8 Medicare coverage policies — 8 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
- A56787Billing and Coding: Nonvascular Extremity Ultrasound
- A57204Billing and Coding: MRI and CT Scans of the Head and Neck
Related codes at this level
Codes that share D36. If D36.7 is not quite right, the correct code is usually one of these.
Questions about D36.7
- Is D36.7 a billable ICD-10-CM code?
- Yes. D36.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D36.7 sit in the tabular list?
- Neoplasms (C00-D49), in the block Benign neoplasms, except benign neuroendocrine tumors (D10-D36).