D26.9 ICD-10-CM Code: Other benign neoplasm of uterus, unspecified
D26.9 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D26.9
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceOther benign neoplasm of uterus, unspecified
A non-cancerous tumor or growth in the uterus (womb) that has not been specifically identified or classified. This is a benign condition meaning it is not cancer and typically does not spread to other parts of the body.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Excludes 1
OfficialNo Excludes 1 notes are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Code First
OfficialNo Code First sequencing instructions are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for D26.9. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
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 D26.9 an HCC code?
No. D26.9 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
- D26.9
- Description
- Other benign neoplasm of uterus, unspecified
- 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
D26.9 is the ICD-10-CM diagnosis code for other benign neoplasm of uterus, unspecified. A non-cancerous tumor or growth in the uterus (womb) that has not been specifically identified or classified. This is a benign condition meaning it is not cancer and typically does not spread to other parts of the body. D26.9 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D26.9 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.
Use this code only when the specific type of benign uterine neoplasm cannot be determined or is not documented; if the neoplasm type is known (such as fibroid, polyp, or leiomyoma), use the more specific D26 subcategory code instead.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D26.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •Use this code only when the specific type of benign uterine neoplasm cannot be determined or is not documented; if the neoplasm type is known (such as fibroid, polyp, or leiomyoma), use the more specific D26 subcategory code instead
- •Verify documentation for any imaging or pathology reports that might specify the exact nature of the uterine growth, as this could allow for more precise coding with a higher specificity code