D21
D21 — Other benign neoplasms of connective and other soft tissue
Non-billable headerICD-10-CM
D21 is a non-billable header ICD-10-CM code for other benign neoplasms of connective and other soft tissue. 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.
- benign neoplasm of articular cartilage (D16.-)
- benign neoplasm of cartilage of larynx (D14.1)
- benign neoplasm of cartilage of nose (D14.0)
- benign neoplasm of connective tissue of breast (D24.-)
- benign neoplasm of peripheral nerves and autonomic nervous system (D36.1-)
- benign neoplasm of peritoneum (D20.1)
- benign neoplasm of retroperitoneum (D20.0)
- benign neoplasm of uterine ligament, any (D28.2)
- benign neoplasm of vascular tissue (D18.-)
- hemangioma (D18.0-)
- lipomatous neoplasm (D17.-)
- lymphangioma (D18.1)
- uterine leiomyoma (D25.-)
Includes
Conditions this code covers.
- benign neoplasm of blood vessel
- benign neoplasm of bursa
- benign neoplasm of cartilage
- benign neoplasm of fascia
- benign neoplasm of fat
- benign neoplasm of ligament, except uterine
- benign neoplasm of lymphatic channel
- benign neoplasm of muscle
- benign neoplasm of synovia
- benign neoplasm of tendon (sheath)
- benign stromal tumors
Other codes that can never be billed with D21
These codes carry an Excludes1 note pointing at D21. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D21 alone.
Risk adjustment
D21 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 D21
8 child codes. Green means billable.
- D21.0Benign neoplasm of connective and other soft tissue of head, face and neck
- D21.1Benign neoplasm of connective and other soft tissue of upper limb, including shoulder
- D21.2Benign neoplasm of connective and other soft tissue of lower limb, including hip
- D21.3Benign neoplasm of connective and other soft tissue of thorax
- D21.4Benign neoplasm of connective and other soft tissue of abdomen
- D21.5Benign neoplasm of connective and other soft tissue of pelvis
- D21.6Benign neoplasm of connective and other soft tissue of trunk, unspecified
- D21.9Benign neoplasm of connective and other soft tissue, unspecified
Questions about D21
- Is D21 a billable ICD-10-CM code?
- No. D21 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does D21 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 D21?
- D21 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.