2024 ICD-10-CM Diagnosis Code D16.0

Benign neoplasm of scapula and long bones of upper limb

ICD-10-CM Code:
D16.0
ICD-10 Code for:
Benign neoplasm of scapula and long bones of upper limb
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Neoplasms
    (C00–D49)
    • Benign neoplasms, except benign neuroendocrine tumors
      (D10-D36)
      • Benign neoplasm of bone and articular cartilage
        (D16)

D16.0 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of benign neoplasm of scapula and long bones of upper limb. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The following anatomical sites found in the Table of Neoplasms reference this diagnosis code given the correct histological behavior: Neoplasm, neoplastic bone (periosteum) arm NEC ; Neoplasm, neoplastic bone (periosteum) elbow ; Neoplasm, neoplastic bone (periosteum) forearm ; Neoplasm, neoplastic bone (periosteum) humerus (any part) ; Neoplasm, neoplastic bone (periosteum) limb NEC upper (long bones) ; Neoplasm, neoplastic bone (periosteum) radius (any part) ; Neoplasm, neoplastic bone (periosteum) scapula (any part) ; etc

Specific Coding Applicable to Benign neoplasm of scapula and long bones of upper limb

Non-specific codes like D16.0 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for benign neoplasm of scapula and long bones of upper limb:

  • Use D16.00 for Benign neoplasm of scapula and long bones of unspecified upper limb - BILLABLE CODE

  • Use D16.01 for Benign neoplasm of scapula and long bones of right upper limb - BILLABLE CODE

  • Use D16.02 for Benign neoplasm of scapula and long bones of left upper limb - BILLABLE CODE

Table of Neoplasms

This code is referenced in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»Neoplasm, neoplastic
  »bone (periosteum)
    »arm NEC
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »elbow
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »forearm
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »humerus (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »limb NEC
      »upper (long bones)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »radius (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »scapula (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »shoulder
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »bone (periosteum)
    »ulna (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »humerus (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »joint NEC [See Also: Neoplasm, bone]
    »acromioclavicular
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »radius (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »scapula (any part)
C40.0C79.51 D16.0  
»Neoplasm, neoplastic
  »ulna (any part)
C40.0C79.51 D16.0  

Patient Education


Benign Tumors

Tumors are abnormal growths in your body. They can be either benign or malignant. Benign tumors aren't cancer. Malignant ones are. Benign tumors grow only in one place. They cannot spread or invade other parts of your body. Even so, they can be dangerous if they press on vital organs, such as your brain.

Tumors are made up of extra cells. Normally, cells grow and divide to form new cells as your body needs them. When cells grow old, they die, and new cells take their place. Sometimes, this process goes wrong. New cells form when your body does not need them, and old cells do not die when they should. These extra cells can divide without stopping and may form tumor.

Treatment often involves surgery. Benign tumors usually don't grow back.

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Bone Diseases

Your bones help you move, give you shape and support your body. They are living tissues that rebuild constantly throughout your life. During childhood and your teens, your body adds new bone faster than it removes old bone. After about age 20, you can lose bone faster than you make bone. To have strong bones when you are young, and to prevent bone loss when you are older, you need to get enough calcium, vitamin D, and exercise. You should also avoid smoking and drinking too much alcohol.

Bone diseases can make bones easy to break. Different kinds of bone problems include:

  • Low bone density and osteoporosis, which make your bones weak and more likely to break
  • Osteogenesis imperfecta makes your bones brittle
  • Paget's disease of bone makes them weak
  • Bones can also develop cancer and infections
  • Other bone diseases, which are caused by poor nutrition, genetics, or problems with the rate of bone growth or rebuilding

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.