D10.0
BillableBenign neoplasm of lip
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is D10.0 an HCC code?
No. D10.0 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
D10.0 is the ICD-10-CM diagnosis code for benign neoplasm of lip. A non-cancerous tumor or growth on the lip that is benign and does not spread to other parts of the body. D10.0 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D10.0 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.
Specify whether the benign neoplasm is on the upper lip, lower lip, or lip unspecified in the medical record.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D10.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Specify whether the benign neoplasm is on the upper lip, lower lip, or lip unspecified in the medical record
- •Distinguish between benign neoplasms of the lip and malignant neoplasms, which use different code ranges