ICD-10 · PDGM grouping
D10 Benign neoplasm of mouth and pharynx
All 10 codes in the D10 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
Codes in family
10
Can lead a claim
9
Cannot lead a claim
1
What CMS assigns to D10
9 of the 10 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 1 is assigned no clinical group. None of the 10 is assigned a comorbidity subgroup. 9 of the 10 can lead a claim.
Every code in D10
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| D10.0 | Benign neoplasm of lip | Can lead a claim | K | None |
| D10.1 | Benign neoplasm of tongue | Can lead a claim | K | None |
| D10.2 | Benign neoplasm of floor of mouth | Can lead a claim | K | None |
| D10.3 Benign neoplasm of other and unspecified parts of mouth | ||||
| D10.30 | Benign neoplasm of unspecified part of mouth | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D10.39 | Benign neoplasm of other parts of mouth | Can lead a claim | K | None |
| D10.4 | Benign neoplasm of tonsil | Can lead a claim | K | None |
| D10.5 | Benign neoplasm of other parts of oropharynx | Can lead a claim | K | None |
| D10.6 | Benign neoplasm of nasopharynx | Can lead a claim | K | None |
| D10.7 | Benign neoplasm of hypopharynx | Can lead a claim | K | None |
| D10.9 | Benign neoplasm of pharynx, unspecified | Can lead a claim | K | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
The monthly home health regs digest
What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue