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D36.15 ICD-10-CM Code: Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen

ICD-10-CM Code View

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

D36.15

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

Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen

A noncancerous tumor of the peripheral nerves or autonomic nervous system in the abdominal area.

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
D36Benign neoplasm of other and unspecified sites
D36.1Benign neoplasm of peripheral nerves and autonomic nervous system
D36.15Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D36.15 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D36.15 in this effective period.

Related Child Codes

Official
D36.10Benign neoplasm of peripheral nerves and autonomic nervous system, unspecified
D36.11Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neck
D36.12Benign neoplasm of peripheral nerves and autonomic nervous system, upper limb, including shoulder
D36.13Benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hip
D36.14Benign neoplasm of peripheral nerves and autonomic nervous system of thorax

Includes

Official

ICD-10-CM does not list Includes notes for D36.15 in this effective period.

Excludes 1

Official
  • benign neoplasm of peripheral nerves of orbit (D31.6-)
  • neurofibromatosis (Q85.0-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D36.15 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D36.15 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D36.15 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
This code includes tumors of abdominal nerves and the celiac plexus
Distinguish from D36.16 (pelvic) and D36.14 (thoracic) based on anatomical location documented in the record

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 D36.15 an HCC code?

No. D36.15 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Code
D36.15
Description
Benign neoplasm of peripheral nerves and autonomic nervous system of abdomen
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

D36.15 is the ICD-10-CM diagnosis code for benign neoplasm of peripheral nerves and autonomic nervous system of abdomen. A noncancerous tumor of the peripheral nerves or autonomic nervous system in the abdominal area. D36.15 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).

D36.15 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.

This code includes tumors of abdominal nerves and the celiac plexus.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D36.15 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • This code includes tumors of abdominal nerves and the celiac plexus
  • Distinguish from D36.16 (pelvic) and D36.14 (thoracic) based on anatomical location documented in the record

Child Codes

Code Hierarchy

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