ICD-10 Diagnosis Code D16.6

Benign neoplasm of vertebral column

Diagnosis Code D16.6

ICD-10: D16.6
Short Description: Benign neoplasm of vertebral column
Long Description: Benign neoplasm of vertebral column
This is the 2019 version of the ICD-10-CM diagnosis code D16.6

Valid for Submission
The code D16.6 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • Benign neoplasms, except benign neuroendocrine tumors (D10-D36)
      • Benign neoplasm of bone and articular cartilage (D16)
Version 2019 Billable Code Neoplasm Benign

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code D16.6 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC
  • 457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH CC
  • 458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Convert to ICD-9
  • 213.2 - Benign neo vertebrae

Synonyms
  • Benign neoplasm of articular cartilage
  • Benign neoplasm of cervical vertebra
  • Benign neoplasm of cervical vertebral column
  • Benign neoplasm of lumbar vertebra
  • Benign neoplasm of lumbar vertebral column
  • Benign neoplasm of spine
  • Benign neoplasm of thoracic vertebra
  • Benign neoplasm of thoracic vertebral column
  • Benign neoplasm of vertebral column, excluding sacrum and coccyx
  • Benign osteogenic neoplasm of articular cartilage of vertebral column
  • Benign osteogenic neoplasm of bone of vertebral column
  • Bone island
  • Cystic dermoid choristoma of vertebra
  • Enostosis of vertebra
  • Lumbar mass
  • Lumbar mass
  • Mass of cervical spine
  • Mass of thoracic vertebrae
  • Neoplasm of cervical vertebral column
  • Neoplasm of lumbar vertebral column
  • Osteoid osteoma
  • Osteoid osteoma of spine

Tabular List of Diseases and Injuries
References found for the code D16.6 in the Tabular List of Diseases and Injuries:

  • Type 1 Excludes Notes:
    • benign neoplasm of sacrum and coccyx (D16.8)

Table of Neoplasms

The code D16.6 is included 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.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»atlas
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »atlas
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »axis
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »back NEC
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »intervertebral cartilage or disc
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »spine, spinal (column)
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »vertebra (column)
C41.2C79.51D16.6D48.0D49.2
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »intervertebral
C41.2C79.51D16.6D48.0D49.2
»disc, intervertebral
C41.2C79.51D16.6D48.0D49.2
»intervertebral cartilage or disc
C41.2C79.51D16.6D48.0D49.2
»nucleus pulposus
C41.2C79.51D16.6D48.0D49.2
»spine, spinal (column)
C41.2C79.51D16.6D48.0D49.2
»spine, spinal (column)
  »lumbosacral
C41.2C79.51D16.6D48.0D49.2
»vertebra (column)
C41.2C79.51D16.6D48.0D49.2

Information for Patients


Benign Tumors

Also called: Benign cancer, Benign neoplasms, Noncancerous 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

  • Biopsy - polyps (Medical Encyclopedia)
  • Cherry angioma (Medical Encyclopedia)

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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

  • ALP - blood test (Medical Encyclopedia)
  • ALP isoenzyme test (Medical Encyclopedia)
  • Blount disease (Medical Encyclopedia)
  • Bone lesion biopsy (Medical Encyclopedia)
  • Bone pain or tenderness (Medical Encyclopedia)
  • Bone tumor (Medical Encyclopedia)
  • Bowlegs (Medical Encyclopedia)
  • Fibrous dysplasia (Medical Encyclopedia)
  • Osteomalacia (Medical Encyclopedia)
  • Osteopenia - premature infants (Medical Encyclopedia)

[Read More]

Spinal Cord Diseases

Your spinal cord is a bundle of nerves that runs down the middle of your back. It carries signals back and forth between your body and your brain. It is protected by your vertebrae, which are the bone disks that make up your spine. If you have an accident that damages the vertebrae or other parts of the spine, this can also injure the spinal cord. Other spinal cord problems include

  • Tumors
  • Infections such as meningitis and polio
  • Inflammatory diseases
  • Autoimmune diseases
  • Degenerative diseases such as amyotrophic lateral sclerosis and spinal muscular atrophy

Symptoms vary but might include pain, numbness, loss of sensation and muscle weakness. These symptoms can occur around the spinal cord, and also in other areas such as your arms and legs. Treatments often include medicines and surgery.

  • Epidural abscess (Medical Encyclopedia)
  • Spinal cord abscess (Medical Encyclopedia)
  • Spinal tumor (Medical Encyclopedia)
  • Subacute combined degeneration (Medical Encyclopedia)
  • Syphilitic myelopathy (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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