D16
D16 — Benign neoplasm of bone and articular cartilage
Non-billable headerICD-10-CM
D16 is a non-billable header ICD-10-CM code for benign neoplasm of bone and articular cartilage. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with D16
These codes carry an Excludes1 note pointing at D16. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D16 alone.
Risk adjustment
D16 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.
Code to one of these instead D16
10 child codes. Green means billable.
- D16.0Benign neoplasm of scapula and long bones of upper limb
- D16.1Benign neoplasm of short bones of upper limb
- D16.2Benign neoplasm of long bones of lower limb
- D16.3Benign neoplasm of short bones of lower limb
- D16.4Benign neoplasm of bones of skull and face
- D16.5Benign neoplasm of lower jaw bone
- D16.6Benign neoplasm of vertebral column
- D16.7Benign neoplasm of ribs, sternum and clavicle
- D16.8Benign neoplasm of pelvic bones, sacrum and coccyx
- D16.9Benign neoplasm of bone and articular cartilage, unspecified
Questions about D16
- Is D16 a billable ICD-10-CM code?
- No. D16 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D16 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 D16?
- D16 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.