2024 ICD-10-CM Diagnosis Code D28.0

Approximate Synonyms

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

• Angiokeratoma of Fordyce
• Angiokeratoma of skin
• Angiokeratoma of vulva
• Benign neoplasm of Bartholin's gland
• Benign neoplasm of clitoris
• Benign neoplasm of labia majora
• Benign neoplasm of labia minora
• Benign neoplasm of vulva
• Lesion of clitoris
• Neoplasm of clitoris
• Neoplasm of labia majora
• Neoplasm of labia minora
• Vestibular papillomatosis

Code Edits

The Medicare Code Editor (MCE) detects and reports errors in the coding of claims data. The following ICD-10-CM Code Edits are applicable to this code:

• Diagnoses for females only - The Medicare Code Editor detects inconsistencies between a patient’s sex and any diagnosis on the patient’s record, these edits apply to FEMALES only .

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
742	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC	13	1.7819
743	UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	13	1.162

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 to ICD-9-CM Code

Source ICD-10-CM Code		Target ICD-9-CM Code
D28.0		221.2 - Benign neoplasm vulva

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   »Bartholin's gland	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »clitoris	C51.2	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »fourchette	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labia (skin)	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labia (skin)     »majora	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labia (skin)     »minora	C51.1	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labium (skin)	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labium (skin)     »majus	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »labium (skin)     »minus	C51.1	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »mons	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »mons     »pubis	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »mons     »veneris	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »pudenda, pudendum (femaie)	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »clitoris	C51.2	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »clitoris	C51.2	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »labium NEC	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »labium NEC         »majus	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »labium NEC         »minus	C51.1	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »pudendum	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »female genital organs (external)       »vulva	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »labia	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »labia       »majora	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »labia       »minora	C51.1	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »skin NOS     »vulva	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »vestibular gland, greater	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »vulva	C51.9	C79.82	D07.1	D28.0	D39.8	D49.59
»Neoplasm, neoplastic   »vulvovaginal gland	C51.0	C79.82	D07.1	D28.0	D39.8	D49.59

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]

Vulvar Disorders

The vulva is the external part of a woman's genitals. Some problems you can have with the vulvar area include:

• Vaginitis or vulvovaginitis, swelling or infection of the vulva and vagina
• Skin problems due to allergy
• Vulvar cancer
• Vulvodynia, or vulvar pain

Symptoms may include redness, itching, pain, or cracks in the skin. Treatment depends on the cause.

[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.