D36.16 ICD-10-CM Code: Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
D36.16 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D36.16
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBenign neoplasm of peripheral nerves and autonomic nervous system of pelvis
A noncancerous tumor of the peripheral nerves or autonomic nervous system in the pelvic region.
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 D36.16. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for D36.16. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for D36.16. Check the code and parent instructions in the Code Book.
Excludes 1
Official- benign neoplasm of peripheral nerves of orbit (D31.6-)Inherited from D36.1
- neurofibromatosis (Q85.0-)Inherited from D36.1
Code First
OfficialNo Code First sequencing instructions are included in this display for D36.16. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for D36.16. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for D36.16. 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 D36.16 an HCC code?
No. D36.16 is a billable ICD-10-CM code with no mapping under the current CMS-HCC V28 community payment model, and none under the ESRD, Part D RxHCC, or HHS-HCC models.
- Code
- D36.16
- Description
- Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF reference coefficient
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
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What This Code Means
D36.16 is the ICD-10-CM diagnosis code for benign neoplasm of peripheral nerves and autonomic nervous system of pelvis. A noncancerous tumor of the peripheral nerves or autonomic nervous system in the pelvic region. D36.16 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D36.16 is a billable ICD-10-CM code, but no current CMS-HCC V28 community payment mapping is shown, 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.
This code includes tumors of the sacral plexus and pelvic nerves.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D36.16 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 the sacral plexus and pelvic nerves
- •Ensure the tumor location is documented as pelvic rather than abdominal or lower limb