2024 ICD-10-CM Diagnosis Code D36.12

Approximate Synonyms

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

• Benign neoplasm of brachial plexus
• Benign neoplasm of peripheral nerves of shoulder
• Benign neoplasm of peripheral nerves of upper limb
• Benign neoplasm of soft tissue of hand
• Neoplasm of peripheral nerves of shoulder
• Neurofibroma of hand
• Neurofibroma of upper limb
• Neuroma of hand
• Neuroma of upper limb
• Neuroma of upper limb
• Postoperative neuroma of upper limb
• Schwannoma of hand
• Schwannoma of nerve of upper limb

Clinical Information

• Brachial Plexus

  the large network of nerve fibers which distributes the innervation of the upper extremity. the brachial plexus extends from the neck into the axilla. in humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (c5-c8 and t1), but variations are not uncommon.

• Brachial Plexus Block

  a blocking of neural conduction in the network of nerve fibers innervating the upper extremity.

• Brachial Plexus Neuritis

  a syndrome associated with inflammation of the brachial plexus. clinical features include severe pain in the shoulder region which may be accompanied by muscle weakness and loss of sensation in the upper extremity. this condition may be associated with virus diseases; immunization; surgery; heroin use (see heroin dependence); and other conditions. the term brachial neuralgia generally refers to pain associated with brachial plexus injury. (from adams et al., principles of neurology, 6th ed, pp1355-6)

• Brachial Plexus Neuropathies

  diseases of the cervical (and first thoracic) roots, nerve trunks, cords, and peripheral nerve components of the brachial plexus. clinical manifestations include regional pain, paresthesia; muscle weakness, and decreased sensation (hypesthesia) in the upper extremity. these disorders may be associated with trauma (including birth injuries); thoracic outlet syndrome; neoplasms; neuritis; radiotherapy; and other conditions. (from adams et al., principles of neurology, 6th ed, pp1351-2)

D36.12 is grouped with 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
564	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC	08	1.5619
565	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC	08	0.9994
566	OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC	08	0.7505

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 D36.12 to ICD-9-CM

• ICD-9-CM Code: 215.9 - Ben neo soft tissue NOS
  Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

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   »brachial plexus	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »brachial	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »median	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »antecubital fossa or space	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »arm	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »axilla	C47.3	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »elbow	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »extremity         »upper	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »finger	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »forearm	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »hand	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »limb NEC         »upper	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »shoulder	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »thumb	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »peripheral NEC       »wrist	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »radial	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »nerve (ganglion)     »ulnar	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »plexus	C47.1	C79.89		D36.12	D48.2	D49.2
»Neoplasm, neoplastic   »plexus     »brachial	C47.1	C79.89		D36.12	D48.2	D49.2

Patient Education

Autonomic Nervous System Disorders

Your autonomic nervous system is the part of your nervous system that controls involuntary actions, such as the beating of your heart and the widening or narrowing of your blood vessels. When something goes wrong in this system, it can cause serious problems, including:

• Blood pressure problems
• Heart problems
• Trouble with breathing and swallowing
• Erectile dysfunction in men

Autonomic nervous system disorders can occur alone or as the result of another disease, such as Parkinson's disease, alcoholism and diabetes. Problems can affect either part of the system, as in complex regional pain syndromes, or all of the system. Some types are temporary, but many worsen over time. When they affect your breathing or heart function, these disorders can be life-threatening.

Some autonomic nervous system disorders get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms.

NIH: National Institute of Neurological Disorders and Stroke

[Learn More in MedlinePlus]

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]

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.