Question 1

What is ICD-10 code D26?

Accepted Answer

D26 is the ICD-10-CM diagnosis code for other benign neoplasms of uterus. D26 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 D26 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.

Question 2

Is D26 an HCC code?

Accepted Answer

D26 is a non-billable header code. Choose the billable child code supported by the documentation, then check that child's current V28 mapping.

Question 3

Is D26 billable?

Accepted Answer

No. D26 is a header (non-billable) ICD-10-CM code. Header codes sit at a higher level of the diagnosis hierarchy and exist to organize a family of more specific child codes. Per ICD-10-CM coding guidelines, a header code cannot be reported on a claim as the diagnosis, coders must select a billable child code from the D26 hierarchy that matches the highest level of specificity supported by the provider's documentation. Payers reject header codes submitted as the primary diagnosis.

Question 4

Which HCC does D26 map to under V28?

Accepted Answer

D26 is not billable. Choose a billable child code before checking its V28 mapping.

Question 5

What RAF reference is published for D26?

Accepted Answer

D26 is not billable. Choose a billable child code before checking a V28 reference coefficient.

Question 6

What is the V28 vs V24 difference for D26?

Accepted Answer

D26 is not billable. Choose a billable child code before comparing V28 with a historical V24 reference.

Question 7

What documentation supports D26?

Accepted Answer

D26 is not billable. Choose the supported billable child code before checking mapping or documentation requirements.

HCC Buddy Code Card

D26

Get the V28 mapping + MEAT cheat sheet

What This Code Means

Child Codes

Code Hierarchy

Work D26 in HCC Buddy

D26 ICD-10-CM Code: Other benign neoplasms of uterus