Is ICD-10-CM code D26 billable?

No, D26 (Other benign neoplasms of uterus) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code D26 belong to?

D26 belongs to Chapter 2 of the ICD-10-CM tabular list: C00–D49 (Neoplasms).

D26Not billable, use a more specific code below

Other benign neoplasms of uterus

In Benign neoplasms, except benign neuroendocrine tumors (D10-D36), chapter 2: Neoplasms

4 billable codes under D26: none are a CC or MCC; none map to an HCC.

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)

Read Section I.C.2 (page 32), 12 more topics

All codes under D26

D26 can't be used on a claim. Pick a billable code below; grey headings group them.

D26 MS-DRGs

As the principal diagnosis, all 4 billable codes under D26 group to MS-DRG 742, 743, 760, or 761 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

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.

Uterine Diseases

The uterus, or womb, is the place where a fetus grows during pregnancy. Uterine diseases are conditions that affect the uterus. These diseases can be benign (not cancer) or malignant (cancerous). They may affect your menstrual periods, your ability to get pregnant, or the health of your reproductive organs.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.