2026 ICD-10-CM Diagnosis Code D16.02Benign neoplasm of scapula and long bones of left upper limb
ICD-10-CM Codes›C00–D49›D10-D36›D16
- Billable — Valid for Submission
- Not Chronic
D16.02 is a billable ICD-10-CM diagnosis code for benign neoplasm of scapula and long bones of left 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 bilateral scapulae
- Benign neoplasm of bone of left upper limb
- Benign neoplasm of humerus
- Benign neoplasm of left scapula
- Benign neoplasm of long bone of left upper limb
- Benign neoplasm of right scapula
- Benign neoplasm of scapula
- Bone island of left humerus
- Chondroma of bone
- Enchondroma of bone
- Enchondroma of left humerus
- Enostosis of bilateral humeri
- Enostosis of bilateral ulnas
- Enostosis of humerus
- Enostosis of left radius
- Enostosis of left ulna
- Enostosis of radius
- Enostosis of right humerus
- Enostosis of right ulna
- Enostosis of ulna
- Neoplasm of left humerus
- Neoplasm of left scapula
- Neoplasm of right scapula
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 D16.02 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D16.02Overview
Is D16.02 (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 left upper limb on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does D16.02 group to?
When benign neoplasm of scapula and long bones of left 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 D16.02?
Under the General Equivalence Mappings, benign neoplasm of scapula and long bones of left 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.
