Benign neoplasm of bone and articular cartilage
In Benign neoplasms, except benign neuroendocrine tumors (D10-D36), chapter 2: Neoplasms
18 billable codes under D16: none are a CC or MCC; none map to an HCC.
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Instructional notes
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.
- Admission/Encounter for treatment of primary site (page 33)
- Admission/Encounter for treatment of secondary site (page 33)
- Coding and sequencing of complications (page 34)
- Primary malignancy previously excised (page 34)
- Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
- Admission/encounter to determine extent of malignancy (page 36)
- Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
- Admission/encounter for pain control/management (page 36)
All codes under D16
D16 can't be used on a claim. Pick a billable code below; grey headings group them.
- D16.0Benign neoplasm of scapula and long bones of upper limb
- D16.00Benign neoplasm of scapula and long bones of unspecified upper limb
- D16.01Benign neoplasm of scapula and long bones of right upper limb
- D16.02Benign neoplasm of scapula and long bones of left upper limb
- D16.1Benign neoplasm of short bones of upper limb
- D16.10Benign neoplasm of short bones of unspecified upper limb
- D16.11Benign neoplasm of short bones of right upper limb
- D16.12Benign neoplasm of short bones of left upper limb
- D16.2Benign neoplasm of long bones of lower limb
- D16.20Benign neoplasm of long bones of unspecified lower limb
- D16.21Benign neoplasm of long bones of right lower limb
- D16.22Benign neoplasm of long bones of left lower limb
- D16.3Benign neoplasm of short bones of lower limb
- D16.30Benign neoplasm of short bones of unspecified lower limb
- D16.31Benign neoplasm of short bones of right lower limb
- D16.32Benign neoplasm of short bones of left 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
D16 MS-DRGs
As the principal diagnosis, the billable codes under D16 group to these 12 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 564 Other Musculoskeletal System and Connective Tissue Diagnoses with MCC (15 of 18 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (15 of 18 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (15 of 18 codes)
- DRG 157 Dental and Oral Diseases with MCC (1 of 18 codes)
- DRG 158 Dental and Oral Diseases with CC (1 of 18 codes)
- DRG 159 Dental and Oral Diseases without CC/MCC (1 of 18 codes)
- DRG 180 Respiratory Neoplasms with MCC (1 of 18 codes)
- DRG 181 Respiratory Neoplasms with CC (1 of 18 codes)
- DRG 182 Respiratory Neoplasms without CC/MCC (1 of 18 codes)
- DRG 456 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC (1 of 18 codes)
- DRG 457 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC (1 of 18 codes)
- DRG 458 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC (1 of 18 codes)
Other codes that refer to D16
Notes on these codes point to D16.
- D21 Excludes1: benign neoplasm of articular cartilage (D16.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Benign Tumors
Tumors are abnormal growths in your body. They can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. Benign tumors grow only in one place. They cannot spread or invade other parts of your body. Even so, they can be dangerous if they press on vital organs, such as your brain.
Read more about benign tumors on MedlinePlusBone Diseases
Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone. To have strong bones when you are young, and to prevent bone loss when you are older, you need to get enough calcium, vitamin D, and exercise. You should also avoid smoking and drinking too much alcohol.
Read more about bone diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.