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D13.4 ICD-10-CM Code: Benign neoplasm of liver

ICD-10-CM Code View

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

D13.4

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

Benign neoplasm of liver

A noncancerous tumor growing in the liver.

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
D13Benign neoplasm of other and ill-defined parts of digestive system
D13.4Benign neoplasm of liver

Inclusion Terms

Official
  • Benign neoplasm of intrahepatic bile ducts

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D13.4 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
D13.5Benign neoplasm of extrahepatic bile ducts

Includes

Official

ICD-10-CM does not list Includes notes for D13.4 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 D13.4 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D13.4 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D13.4 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Confirm benign histology; hepatic cancers require malignant neoplasm codes
Document if the tumor is causing hepatic dysfunction or mass effect on adjacent structures

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 D13.4 an HCC code?

No. D13.4 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

D13.4 is the ICD-10-CM diagnosis code for benign neoplasm of liver. A noncancerous tumor growing in the liver. D13.4 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D13.4 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 benign histology; hepatic cancers require malignant neoplasm codes.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D13.4 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Confirm benign histology; hepatic cancers require malignant neoplasm codes
  • Document if the tumor is causing hepatic dysfunction or mass effect on adjacent structures

Child Codes

Code Hierarchy

Work D13.4 in HCC Buddy

Open D13.4 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.