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D11.7 ICD-10-CM Code: Benign neoplasm of other major salivary glands

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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)

D11.7

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

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.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
D11Benign neoplasm of major salivary glands
D11.7Benign neoplasm of other major salivary glands

Inclusion Terms

Official
  • Benign neoplasm of sublingual salivary gland
  • Benign neoplasm of submandibular salivary gland

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D11.7 in this effective period.

Related Child Codes

Official
D11.0Benign neoplasm of parotid gland
D11.9Benign neoplasm of major salivary gland, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for D11.7 in this effective period.

Excludes 1

Official
  • benign neoplasms of specified minor salivary glands which are classified according to their anatomical location
  • benign neoplasms of minor salivary glands NOS (D10.39)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D11.7 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D11.7 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D11.7 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
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

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

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

Child Codes

Code Hierarchy

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