Version 2024

2024 ICD-10-CM Diagnosis Code D36.7

Benign neoplasm of other specified sites

ICD-10-CM Code:: D36.7
ICD-10 Code for:: Benign neoplasm of other specified sites
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
Code Navigator:

Code Information
Approximate Synonyms
Clinical Classification
Clinical Information
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Table of Neoplasms
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Neoplasms
(C00–D49)
- Benign neoplasms, except benign neuroendocrine tumors
  (D10-D36)
  - Benign neoplasm of other and unspecified sites
    (D36)

D36.7 is a billable diagnosis code used to specify a medical diagnosis of benign neoplasm of other specified sites. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The following anatomical sites found in the Table of Neoplasms reference this diagnosis code given the correct histological behavior: Neoplasm, neoplastic abdomen, abdominal ; Neoplasm, neoplastic abdomen, abdominal cavity ; Neoplasm, neoplastic abdomen, abdominal organ ; Neoplasm, neoplastic abdomen, abdominal viscera ; Neoplasm, neoplastic abdominopelvic ; Neoplasm, neoplastic ankle NEC ; Neoplasm, neoplastic antecubital fossa or space ; etc

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

Benign neoplasm of abdomen
Benign neoplasm of axilla
Benign neoplasm of back
Benign neoplasm of cheek
Benign neoplasm of chest wall
Benign neoplasm of face
Benign neoplasm of flank
Benign neoplasm of foot
Benign neoplasm of forearm
Benign neoplasm of hand
Benign neoplasm of head
Benign neoplasm of inguinal region
Benign neoplasm of intra-abdominal organs
Benign neoplasm of jaw
Benign neoplasm of lower limb
Benign neoplasm of neck
Benign neoplasm of nerve sheath origin
Benign neoplasm of nose
Benign neoplasm of pelvis
Benign neoplasm of presacral region
Benign neoplasm of rectovaginal septum
Benign neoplasm of rectovesical septum
Benign neoplasm of sacrococcygeal region
Benign neoplasm of shoulder
Benign neoplasm of soft tissues of pelvis
Benign neoplasm of soft tissues of pelvis
Benign neoplasm of supraclavicular region
Benign neoplasm of thigh
Benign neoplasm of thorax
Benign neoplasm of trunk
Benign neoplasm of upper arm
Benign neoplasm of upper limb
Benign neoplasm of vagina
Benign tumor of ear, nose and throat
Benign tumor of head and neck
Benign tumor of parapharyngeal space
Dermoid cyst of face
Dermoid cyst of head
Dermoid cyst of skin
Melanotic neuroectodermal tumor of infancy
Neoplasm of flank
Neoplasm of presacral region
Neoplasm of rectovaginal septum
Neoplasm of rectovesical septum
Neoplasm of supraclavicular region
Neuroma of ankle
Neuroma of lower limb
Perineurioma
Schwannoma of axilla

Clinical Classification

Clinical Category is Benign neoplasms
CCSR Category Code: NEO073
Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Perineum
the body region lying between the genital area and the anus on the surface of the trunk, and to the shallow compartment lying deep to this area that is inferior to the pelvic diaphragm. the surface area is between the vulva and the anus in the female, and between the scrotum and the anus in the male.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Inclusion Terms

Benign neoplasm of back NOS
Benign neoplasm of nose NOS

D36.7 is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
826	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC	17	4.3888
827	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC	17	2.3172
828	MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC	17	1.6404

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert D36.7 to ICD-9-CM

ICD-9-CM Code: 229.8 - Benign neoplasm NEC
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original 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.

Filter table of neoplasms:

Neoplasm, neoplastic	Malignant Primary	Malignant Secondary	CaInSitu	Benign	Uncertain Behavior	Unspecified Behavior
»Neoplasm, neoplastic »abdomen, abdominal	C76.2	C79.8	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »abdomen, abdominal »cavity	C76.2	C79.8	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »abdomen, abdominal »organ	C76.2	C79.8	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »abdomen, abdominal »viscera	C76.2	C79.8	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »abdominopelvic	C76.8	C79.8		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »ankle NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »antecubital fossa or space	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »arm NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »axilla, axillary	C76.1	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »back NEC	C76.8	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »buttock NEC	C76.3	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »calf	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »cervical region	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »cheek	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »chest (wall) NEC	C76.1	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »elbow NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »extrarectal	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »extremity	C76.8	C79.89	D04.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »extremity »lower	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »extremity »upper	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »face NEC	C76.0	C79.89	D04.39	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »finger NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »flank NEC	C76.8	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »foot NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »forearm NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »fossa (of) »ischiorectal	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »gluteal region	C76.3	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »groin NEC	C76.3	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »hand NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »head NEC	C76.0	C79.89	D04.4	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »heel NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »hip NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »infraclavicular (region)	C76.1	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »inguinal (region)	C76.3	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »intra-abdominal	C76.2	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »ischiorectal (fossa)	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »jaw	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »knee NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »leg NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »limb	C76.8	C79.89	D04.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »limb »lower	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »limb »upper	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »neck NEC	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »nose, nasal	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pararectal	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »parasagittal (region)	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »paraurethral	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »paravaginal	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pelvis, pelvic	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pelvis, pelvic »floor	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pelvis, pelvic »viscera	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pelvis, pelvic »wall	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »pelvo-abdominal	C76.8	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »perineum	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »perirectal (tissue)	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »peritonsillar (tissue)	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »periurethral tissue	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »popliteal fossa or space	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »presacral (region)	C76.3	C79.89		D36.7	D48.7	D49.89
»Neoplasm, neoplastic »rectovaginal septum or wall	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »rectovesical septum	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »retro-orbital	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »retrovesical (septum)	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »sacrococcyx, sacrococcygeal »region	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »scapular region	C76.1	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »septum »rectovaginal	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »septum »rectovesical	C76.3	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »shoulder NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »specified site NEC	C76.8	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »submental	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »supraclavicular region	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »temporal »region	C76.0	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »thigh NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »thorax, thoracic (cavity) (organs NEC)	C76.1	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »thorax, thoracic (cavity) (organs NEC) »wall NEC	C76.1	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »thumb NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »toe NEC	C76.5	C79.89	D04.7	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »trunk NEC	C76.8	C79.89	D04.5	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »vesicorectal	C76.3	C79.82	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »viscera NEC	C76.8	C79.89	D09.8	D36.7	D48.7	D49.89
»Neoplasm, neoplastic »wrist NEC	C76.4	C79.89	D04.6	D36.7	D48.7	D49.89

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]

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.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.