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D21.10 ICD-10-CM Code: Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

D21.10

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

Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder

A benign (non-cancerous) tumor of connective tissue or soft tissue in the upper arm or shoulder area when the side is not specified.

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

Code Book Path

Official
D21Other benign neoplasms of connective and other soft tissue
D21.1Benign neoplasm of connective and other soft tissue of upper limb, including shoulder
D21.10Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D21.10 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D21.10 in this effective period.

Related Child Codes

Official
D21.11Benign neoplasm of connective and other soft tissue of right upper limb, including shoulder
D21.12Benign neoplasm of connective and other soft tissue of left upper limb, including shoulder

Includes

Official

ICD-10-CM does not list Includes notes for D21.10 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D21.10 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D21.10 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D21.10 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D21.10 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use only when laterality (right vs. left) cannot be determined from documentation
Query the provider to determine if the tumor is on the right or left side for more specific coding

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 D21.10 an HCC code?

No. D21.10 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
D21.10
Description
Benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder
HCC (V28)
No CMS-HCC V28 mapping
RAF
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

D21.10 is the ICD-10-CM diagnosis code for benign neoplasm of connective and other soft tissue of unspecified upper limb, including shoulder. A benign (non-cancerous) tumor of connective tissue or soft tissue in the upper arm or shoulder area when the side is not specified. D21.10 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D21.10 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.

Use only when laterality (right vs. left) cannot be determined from documentation.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D21.10 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use only when laterality (right vs. left) cannot be determined from documentation
  • Query the provider to determine if the tumor is on the right or left side for more specific coding

Child Codes

Code Hierarchy

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