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D48.113 ICD-10-CM Code: Desmoid tumor of abdominal wall

D48.113 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupD48.113

FY 2026 Apr update / Neoplasms (C00-D49) / Neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (D37-D48)

D48.113

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

Desmoid tumor of abdominal wall

A desmoid tumor in the abdominal wall that grows in the muscles and tissues of the abdomen's outer layer.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Neoplasm of uncertain behavior of connective tissue of earInherited from D48.1, D48.11
  • Neoplasm of uncertain behavior of connective tissue of eyelidInherited from D48.1, D48.11
  • Stromal tumors of uncertain behavior of digestive systemInherited from D48.1, D48.11
  • Aggressive fibromatosisInherited from D48.1, D48.11

Excludes 2

Official

No Excludes 2 notes are included in this display for D48.113. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for D48.113. Check the code and parent instructions in the Code Book.

Excludes 1

Official
  • neoplasms of unspecified behavior (D49.-)Inherited from D37-D48, D48, D48.1
  • neurofibromatosis (nonmalignant) (Q85.0-)Inherited from D37-D48, D48, D48.1
  • neoplasm of uncertain behavior of articular cartilage (D48.0)Inherited from D37-D48, D48, D48.1
  • neoplasm of uncertain behavior of cartilage of larynx (D38.0)Inherited from D37-D48, D48, D48.1
  • neoplasm of uncertain behavior of cartilage of nose (D38.5)Inherited from D37-D48, D48, D48.1
  • neoplasm of uncertain behavior of connective tissue of breast (D48.6-)Inherited from D37-D48, D48, D48.1

Code First

Official

No Code First sequencing instructions are included in this display for D48.113. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D48.113. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D48.113. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Clarify whether the tumor is in the rectus abdominis, oblique muscles, or other abdominal wall structures
Distinguish from intraabdominal location (D48.114) based on whether it involves organs or just the wall

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 D48.113 an HCC code?

No. D48.113 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
D48.113
Description
Desmoid tumor of abdominal wall
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

D48.113 is the ICD-10-CM diagnosis code for desmoid tumor of abdominal wall. A desmoid tumor in the abdominal wall that grows in the muscles and tissues of the abdomen's outer layer. D48.113 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering neoplasms of uncertain behavior, polycythemia vera and myelodysplastic syndromes (d37-d48).

D48.113 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.

Clarify whether the tumor is in the rectus abdominis, oblique muscles, or other abdominal wall structures.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D48.113 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Clarify whether the tumor is in the rectus abdominis, oblique muscles, or other abdominal wall structures
  • Distinguish from intraabdominal location (D48.114) based on whether it involves organs or just the wall

Child Codes

Code Hierarchy

D48.113 code history

Code setChange
FY2024 (effective Oct 1, 2023)Added to the code set

Source: official CMS ICD-10-CM order and addenda files, FY2016 through FY2027.

Work D48.113 in HCC Buddy

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