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D16.8 ICD-10-CM Code: Benign neoplasm of pelvic bones, sacrum and coccyx

D16.8 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC Buddy coding tools

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Code lookupD16.8

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

D16.8

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

Benign neoplasm of pelvic bones, sacrum and coccyx

A noncancerous tumor of the pelvic bones, tailbone, or sacrum.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

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 D16.8. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for D16.8. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for D16.8. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • benign neoplasm of connective tissue of ear (D21.0)Inherited from D16
  • benign neoplasm of connective tissue of eyelid (D21.0)Inherited from D16
  • benign neoplasm of connective tissue of larynx (D14.1)Inherited from D16
  • benign neoplasm of connective tissue of nose (D14.0)Inherited from D16
  • benign neoplasm of synovia (D21.-)Inherited from D16

Code First

Official

No Code First sequencing instructions are included in this display for D16.8. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D16.8. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D16.8. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Includes tumors of ilium, ischium, pubis, sacrum, and coccyx
Document laterality (left vs right) and specific bone location in the medical record

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 →

Is D16.8 an HCC code?

No. D16.8 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
D16.8
Description
Benign neoplasm of pelvic bones, sacrum and coccyx
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

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

D16.8 is the ICD-10-CM diagnosis code for benign neoplasm of pelvic bones, sacrum and coccyx. A noncancerous tumor of the pelvic bones, tailbone, or sacrum. D16.8 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D16.8 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Includes tumors of ilium, ischium, pubis, sacrum, and coccyx.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D16.8 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Includes tumors of ilium, ischium, pubis, sacrum, and coccyx
  • Document laterality (left vs right) and specific bone location in the medical record

Child Codes

Code Hierarchy

Also searched as

  • D16 8
  • D168

Work D16.8 in HCC Buddy

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