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D13 ICD-10-CM Code: Benign neoplasm of other and ill-defined parts of digestive system

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

D13

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Benign neoplasm of other and ill-defined parts of digestive system

Benign neoplasm of other and ill-defined parts of digestive system

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
D1Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D13Benign neoplasm of other and ill-defined parts of digestive system

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D13 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D13 in this effective period.

Related Child Codes

Official
D13.0Benign neoplasm of esophagus
D13.1Benign neoplasm of stomach
D13.2Benign neoplasm of duodenum
D13.3Benign neoplasm of other and unspecified parts of small intestine
D13.4Benign neoplasm of liver

Includes

Official

ICD-10-CM does not list Includes notes for D13 in this effective period.

Excludes 1

Official
  • benign stromal tumors of digestive system (D21.4)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D13 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D13 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D13 in this effective period.

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.

What This Code Means

D13 is the ICD-10-CM diagnosis code for benign neoplasm of other and ill-defined parts of digestive system. D13 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

Header codes like D13 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D13's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D13 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • benign stromal tumors of digestive system (D21.4)

Child Codes

Code Hierarchy

D13Benign neoplasm of other and ill-defined parts of digestive system
D13Benign neoplasm of other and ill-defined parts of digestive system

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