D11.7
BillableBenign neoplasm of other major salivary glands
Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)
Is D11.7 an HCC code?
No. D11.7 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
D11.7 is the ICD-10-CM diagnosis code for benign neoplasm of other major salivary glands. A benign (non-cancerous) tumor of the major salivary glands other than the parotid, such as the submandibular or sublingual glands. D11.7 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D11.7 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.
Use this code for benign tumors of submandibular, sublingual, or other major salivary glands when not parotid.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D11.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code for benign tumors of submandibular, sublingual, or other major salivary glands when not parotid
- •Document the specific gland affected in the medical record for clarity and future reference