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D23.111 ICD-10-CM Code: Other benign neoplasm of skin of right upper eyelid, including canthus

ICD-10-CM Code View

HCC Buddy Code Card

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

D23.111

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

Other benign neoplasm of skin of right upper eyelid, including canthus

A benign skin growth on the right upper eyelid or the inner corner of the right eye.

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
D23.1Other benign neoplasm of skin of eyelid, including canthus
D23.11Other benign neoplasm of skin of right eyelid, including canthus
D23.111Other benign neoplasm of skin of right upper eyelid, including canthus

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D23.111 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D23.111 in this effective period.

Related Child Codes

Official
D23.112Other benign neoplasm of skin of right lower eyelid, including canthus

Includes

Official

ICD-10-CM does not list Includes notes for D23.111 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D23.111 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D23.111 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D23.111 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D23.111 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Ensure documentation clearly indicates the right side and upper eyelid location
The canthus (corner of the eye) is included in this code's scope

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 D23.111 an HCC code?

No. D23.111 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
D23.111
Description
Other benign neoplasm of skin of right upper eyelid, including canthus
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

D23.111 is the ICD-10-CM diagnosis code for other benign neoplasm of skin of right upper eyelid, including canthus. A benign skin growth on the right upper eyelid or the inner corner of the right eye. D23.111 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D23.111 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.

Ensure documentation clearly indicates the right side and upper eyelid location.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D23.111 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Ensure documentation clearly indicates the right side and upper eyelid location
  • The canthus (corner of the eye) is included in this code's scope

Child Codes

Code Hierarchy

D23.111 code history

Code setChange
FY2019 (effective Oct 1, 2018)Added to the code set

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

Work D23.111 in HCC Buddy

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