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
Code history
D36.7 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 D36.7 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).