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D36 ICD-10-CM Code: Benign neoplasm of other and unspecified sites

ICD-10-CM Code View

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

D36

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Benign neoplasm of other and unspecified sites

Benign neoplasm of other and unspecified sites

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
D3Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D36Benign neoplasm of other and unspecified sites

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D36 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D36 in this effective period.

Related Child Codes

Official
D36.0Benign neoplasm of lymph nodes
D36.1Benign neoplasm of peripheral nerves and autonomic nervous system
D36.7Benign neoplasm of other specified sites
D36.9Benign neoplasm, unspecified site

Includes

Official

ICD-10-CM does not list Includes notes for D36 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for D36 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D36 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D36 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D36 in this effective period.

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 →

Code
D36
Description
Benign neoplasm of other and unspecified sites
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

D36 is the ICD-10-CM diagnosis code for benign neoplasm of other and unspecified sites. D36 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 D36 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at D36's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D36 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

D36Benign neoplasm of other and unspecified sites
D36Benign neoplasm of other and unspecified sites

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