ICD-10 · PDGM grouping
D13 Benign neoplasm of other and ill-defined parts of digestive system
All 11 codes in the D13 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
11
Can lead a claim
11
Cannot lead a claim
0
What CMS assigns to D13
All 11 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. None of the 11 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in D13
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 |
|---|---|---|---|---|
| D13.0 | Benign neoplasm of esophagus | Can lead a claim | K | None |
| D13.1 | Benign neoplasm of stomach | Can lead a claim | K | None |
| D13.2 | Benign neoplasm of duodenum | Can lead a claim | K | None |
| D13.3 Benign neoplasm of other and unspecified parts of small intestine | ||||
| D13.30 | Benign neoplasm of unspecified part of small intestine | Can lead a claim | K | None |
| D13.39 | Benign neoplasm of other parts of small intestine | Can lead a claim | K | None |
| D13.4 | Benign neoplasm of liver | Can lead a claim | K | None |
| D13.5 | Benign neoplasm of extrahepatic bile ducts | Can lead a claim | K | None |
| D13.6 | Benign neoplasm of pancreas | Can lead a claim | K | None |
| D13.7 | Benign neoplasm of endocrine pancreas | Can lead a claim | K | None |
| D13.9 Benign neoplasm of ill-defined sites within the digestive system | ||||
| D13.91 | Familial adenomatous polyposis | Can lead a claim | K | None |
| D13.99 | Benign neoplasm of ill-defined sites within the digestive systemCMS: Benign neoplasm of ill-defined sites within the dgstv sys | 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.
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