D36.7
D36.7: Benign neoplasm of other specified sites
Billable / specific codeICD-10-CM
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.
Check D36.7 with the rest of the claim: free scrubberInclusion 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
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D14.0Benign neoplasm of middle ear, nasal cavity and accessory sinuses
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D36.7 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
Code history
Unchanged in every release from FY2024 to FY2027.