2027 ICD-10-CM Diagnosis Code D16.01Benign neoplasm of scapula and long bones of right upper limb
ICD-10-CM Codes›C00–D49›D10-D36›D16
- Billable — Valid for Submission
- Not Chronic
D16.01 is a billable ICD-10-CM diagnosis code for benign neoplasm of scapula and long bones of right upper limb. It is valid on HIPAA claims for fiscal year 2027 (October 1, 2026 through September 30, 2027) 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 bilateral scapulae
- Benign neoplasm of bone of right upper limb
- Benign neoplasm of humerus
- Benign neoplasm of left scapula
- Benign neoplasm of long bone of right upper limb
- Benign neoplasm of right scapula
- Benign neoplasm of scapula
- Bone island of left humerus
- Chondroma of bone
- Enchondroma of bone
- Enchondroma of right humerus
- Enostosis of bilateral humeri
- Enostosis of bilateral ulnas
- Enostosis of humerus
- Enostosis of left ulna
- Enostosis of radius
- Enostosis of right humerus
- Enostosis of right radius
- Enostosis of right ulna
- Enostosis of ulna
- Neoplasm of left scapula
- Neoplasm of right humerus
- Neoplasm of right scapula
Instructional NotesGuidance
Instructions from the official ICD-10-CM Tabular List that apply to D16.01: its own notes plus those printed at D16 and Chapter 2. A note printed at a category, block or chapter applies to every code under it.
Excludes1
Not coded here: the excluded code is never reported together with this one, unless the two conditions are unrelated.
Notes
General instructions on how these codes are used.
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Source: CMS ICD-10-CM Tabular List. How to read instructional notes.
Referenced in Other NotesGuidance
Instructional notes printed at other codes that name D16.01, its category, or a range that includes it.
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 D16.01 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D16.01Overview
What is the ICD-10 code for benign neoplasm of scapula and long bones of right upper limb?
The ICD-10-CM code for benign neoplasm of scapula and long bones of right upper limb is D16.01 (sometimes written as D1601). It is billable on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
Is D16.01 (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 right upper limb on HIPAA-covered claims from October 1, 2026 through September 30, 2027.
What MS-DRG does D16.01 group to?
When benign neoplasm of scapula and long bones of right upper limb is the principal diagnosis on an inpatient stay, it groups to MS-DRG 564, 566, 565, with relative weights from 0.7374 to 1.4909 depending on complications. Higher weights mean higher Medicare reimbursement.
Can D16.01 be reported with D21.0?
Not as a rule. The Excludes1 note at D16, which applies to D16.01, lists "benign neoplasm of connective tissue of ear (D21.0)". An Excludes1 note means the excluded code is never reported together with this one; the only exception is when the two conditions are unrelated to each other (Official Guidelines, Section I.A.12.a).
What is the ICD-9 equivalent of D16.01?
Under the General Equivalence Mappings, benign neoplasm of scapula and long bones of right 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.
