D16.11 ICD-10-CM Code: Benign neoplasm of short bones of right upper limb
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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D16.11
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBenign neoplasm of short bones of right upper limb
A non-cancerous tumor that develops in the small bones of the right arm, such as the bones in the wrist, hand, or fingers. These tumors are benign, meaning they do not spread to other parts of the body.
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
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Code Book Path
Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for D16.11 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D16.11 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D16.11 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D16.11 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D16.11 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D16.11 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D16.11 in this effective period.
Buddy Documentation Tip
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 D16.11 an HCC code?
No. D16.11 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
D16.11 is the ICD-10-CM diagnosis code for benign neoplasm of short bones of right upper limb. A non-cancerous tumor that develops in the small bones of the right arm, such as the bones in the wrist, hand, or fingers. These tumors are benign, meaning they do not spread to other parts of the body. D16.11 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D16.11 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.
Verify laterality is documented as 'right' in the medical record before assigning this code; if the side is not specified or is left-sided, use the appropriate alternative code (D16.12 for left).
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D16.11 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Verify laterality is documented as 'right' in the medical record before assigning this code; if the side is not specified or is left-sided, use the appropriate alternative code (D16.12 for left)
- •Ensure the tumor location is confirmed to be in short bones (carpals, metacarpals, phalanges) rather than long bones; if located in long bones of the upper limb, use D16.01 instead