D36.7 ICD-10-CM Code: Benign neoplasm of other specified sites
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Neoplasms (C00-D49) / Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
D36.7
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceBenign neoplasm of other specified sites
This code describes a benign (non-cancerous) tumor that develops in a body location not specifically listed in other benign neoplasm codes. These growths are not cancer and typically do not spread to other parts of the body.
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
Inclusion Terms
Official- Benign neoplasm of back NOS
- Benign neoplasm of nose NOS
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for D36.7 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for D36.7 in this effective period.
Excludes 1
OfficialICD-10-CM does not list Excludes 1 notes for D36.7 in this effective period.
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for D36.7 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for D36.7 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for D36.7 in this effective period.
Buddy Documentation Tip
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Is D36.7 an HCC code?
No. D36.7 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.
- Code
- D36.7
- Description
- Benign neoplasm of other specified sites
- HCC (V28)
- No CMS-HCC V28 mapping
- RAF
- —
- Billable
- Yes
- Payment year
- 2026
Coder workflow notes
Get the V28 RAF + MEAT cheat sheet
One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.
Free PDF. No card. Unsubscribe anytime.
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
D36.7 is the ICD-10-CM diagnosis code for benign neoplasm of other specified sites. This code describes a benign (non-cancerous) tumor that develops in a body location not specifically listed in other benign neoplasm codes. These growths are not cancer and typically do not spread to other parts of the body. D36.7 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering benign neoplasms, except benign neuroendocrine tumors (d10-d36).
D36.7 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 only when the tumor site is not captured by more specific benign neoplasm codes (D10-D36.0-D36.6); always attempt to use the most specific anatomical site code available.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D36.7 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 tumor site is not captured by more specific benign neoplasm codes (D10-D36.0-D36.6); always attempt to use the most specific anatomical site code available
- •Ensure documentation clearly identifies the benign nature of the neoplasm and its specific anatomical location to support accurate coding and avoid misclassification as malignant