Benign neoplasm of other and unspecified sites
In Benign neoplasms, except benign neuroendocrine tumors (D10-D36), chapter 2: Neoplasms
11 billable codes under D36: none are a CC or MCC; none map to an HCC.
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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 D36
D36 can't be used on a claim. Pick a billable code below; grey headings group them.
- D36.0Benign neoplasm of lymph nodes
- D36.1Benign neoplasm of peripheral nerves and autonomic nervous system
- D36.10Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified
- D36.11Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck
- D36.12Benign neoplasm of peripheral nerves and autonomic nervous system, upper limb, including shoulder
- D36.13Benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hip
- D36.14Benign neoplasm of peripheral nerves and autonomic nervous system of thorax
- D36.15Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen
- D36.16Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
- D36.17Benign neoplasm of peripheral nerves and autonomic nervous system of trunk, unspecified
- D36.7Benign neoplasm of other specified sites
- D36.9Benign neoplasm, unspecified site
D36 MS-DRGs
As the principal diagnosis, the billable codes under D36 group to these 17 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 (8 of 11 codes)
- DRG 565 Other Musculoskeletal System and Connective Tissue Diagnoses with CC (8 of 11 codes)
- DRG 566 Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC (8 of 11 codes)
- DRG 826 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC (2 of 11 codes)
- DRG 827 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC (2 of 11 codes)
- DRG 828 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC (2 of 11 codes)
- DRG 829 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC (2 of 11 codes)
- DRG 830 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC (2 of 11 codes)
- DRG 843 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC (2 of 11 codes)
- DRG 844 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC (2 of 11 codes)
- DRG 845 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC (2 of 11 codes)
- DRG 146 Ear, Nose, Mouth and Throat Malignancy with MCC (1 of 11 codes)
- DRG 147 Ear, Nose, Mouth and Throat Malignancy with CC (1 of 11 codes)
- DRG 148 Ear, Nose, Mouth and Throat Malignancy without CC/MCC (1 of 11 codes)
- DRG 814 Reticuloendothelial and Immunity Disorders with MCC (1 of 11 codes)
- DRG 815 Reticuloendothelial and Immunity Disorders with CC (1 of 11 codes)
- DRG 816 Reticuloendothelial and Immunity Disorders without CC/MCC (1 of 11 codes)
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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.