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D26.7 ICD-10-CM Code: Other benign neoplasm of other parts of uterus

ICD-10-CM Code View

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

D26.7

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

Other benign neoplasm of other parts of uterus

A noncancerous growth or tumor in other areas of the uterus not specified as the cervix, submucous, intramural, or subserosal regions.

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
D26Other benign neoplasms of uterus
D26.7Other benign neoplasm of other parts of uterus

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D26.7 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D26.7 in this effective period.

Related Child Codes

Official
D26.0Other benign neoplasm of cervix uteri
D26.1Other benign neoplasm of corpus uteri
D26.9Other benign neoplasm of uterus, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for D26.7 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D26.7 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D26.7 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D26.7 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D26.7 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code when the benign uterine neoplasm location doesn't fit the more specific D25 or D26.0 categories
Ensure documentation specifies the uterine location to justify use of this code

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 D26.7 an HCC code?

No. D26.7 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
D26.7
Description
Other benign neoplasm of other parts of uterus
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

D26.7 is the ICD-10-CM diagnosis code for other benign neoplasm of other parts of uterus. A noncancerous growth or tumor in other areas of the uterus not specified as the cervix, submucous, intramural, or subserosal regions. D26.7 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D26.7 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 this code when the benign uterine neoplasm location doesn't fit the more specific D25 or D26.0 categories.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D26.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code when the benign uterine neoplasm location doesn't fit the more specific D25 or D26.0 categories
  • Ensure documentation specifies the uterine location to justify use of this code

Child Codes

Code Hierarchy

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