D11.0
BillableBenign neoplasm of parotid gland
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is D11.0 an HCC code?
No. D11.0 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
D11.0 is the ICD-10-CM diagnosis code for benign neoplasm of parotid gland. A benign (non-cancerous) tumor of the parotid gland, which is the largest salivary gland located in front of and below the ear. D11.0 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D11.0 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.
Confirm the neoplasm is in the parotid gland specifically, not other salivary glands, to avoid miscoding.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D11.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Confirm the neoplasm is in the parotid gland specifically, not other salivary glands, to avoid miscoding
- •Document laterality (left, right, or bilateral) if available, though the base code does not require it