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D13.9 ICD-10-CM Code: Benign neoplasm of ill-defined sites within the digestive system

D13.9 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupD13.9

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

D13.9

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

Benign neoplasm of ill-defined sites within the digestive system

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • benign stromal tumors of digestive system (D21.4)Inherited from D13

Code First

Official

No Code First sequencing instructions are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D13.9. Check the code and parent instructions in the Code Book.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
D13.9
Description
Benign neoplasm of ill-defined sites within the digestive system
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

D13.9 is the ICD-10-CM diagnosis code for benign neoplasm of ill-defined sites within the digestive system. D13.9 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 D13.9 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D13.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

D13.9 code history

Code setChange
FY2024 (effective Oct 1, 2023)Billability changed (now non-billable header)

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Also searched as

  • D13 9
  • D139

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