2026 ICD-10-CM Diagnosis Code D16.00Benign neoplasm of scapula and long bones of unspecified upper limb
ICD-10-CM Codes›C00–D49›D10-D36›D16
- Billable — Valid for Submission
- Not Chronic
D16.00 is a billable ICD-10-CM diagnosis code for benign neoplasm of scapula and long bones of unspecified upper limb. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 564 through 566. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Benign neoplasms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Benign neoplasm of acromion
- Benign neoplasm of bone of upper limb
- Benign neoplasm of humerus
- Benign neoplasm of long bone of upper limb
- Benign neoplasm of radius
- Benign neoplasm of scapula
- Benign neoplasm of scapula and long bones of upper limb
- Benign neoplasm of ulna
- Benign osteogenic neoplasm of bone of limb
- Chondromyxoid fibroma of bone
- Chondromyxoid fibroma of long bone of upper limb
- Enostosis of radius
- Enostosis of ulna
- Neoplasm of acromion
- Osteochondroma of elbow
- Osteochondroma of humerus
- Osteochondroma of radius
- Osteochondroma of scapula
- Osteoid osteoma
- Osteoid osteoma of humerus
- Osteoid osteoma of radius
- Osteoid osteoma of ulna
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Table of NeoplasmsClinical
Anatomical sites in the Table of Neoplasms that reference this code family.
| Site | Malig. Primary | Malig. Secondary | Ca in situ | Benign | Uncertain | Unspec. |
|---|---|---|---|---|---|---|
| bone (periosteum) › arm NEC | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › elbow | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › forearm | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › humerus (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › limb NEC › upper (long bones) | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › radius (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › scapula (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › shoulder | C40.0 | C79.51 | – | D16.0 | – | – |
| bone (periosteum) › ulna (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| humerus (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| joint NEC [See Also: Neoplasm, bone] › acromioclavicular | C40.0 | C79.51 | – | D16.0 | – | – |
| radius (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| scapula (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
| ulna (any part) | C40.0 | C79.51 | – | D16.0 | – | – |
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert D16.00 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D16.00Overview
Is D16.00 (Benign neoplasm of scapula and long bones of upper limb) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report benign neoplasm of scapula and long bones of unspecified upper limb on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does D16.00 group to?
When benign neoplasm of scapula and long bones of unspecified upper limb is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 565, 566, with relative weights from 0.7493 to 1.5436 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of D16.00?
Under the General Equivalence Mappings, benign neoplasm of scapula and long bones of unspecified upper limb converts to ICD-9-CM 213.4 (ben neo long bones arm). The mapping is approximate, so confirm the match fits the documentation.
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.
