ICD-10 · PDGM grouping
D16 Benign neoplasm of bone and articular cartilage
All 18 codes in the D16 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
18
Can lead a claim
13
Cannot lead a claim
5
What CMS assigns to D16
13 of the 18 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 5 are assigned no clinical group. None of the 18 is assigned a comorbidity subgroup. 13 of the 18 can lead a claim.
Every code in D16
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 |
|---|---|---|---|---|
| D16.0 Benign neoplasm of scapula and long bones of upper limb | ||||
| D16.00 | Benign neoplasm of scapula and long bones of unspecified upper limbCMS: Benign neoplasm of scapula and long bones of unsp upper limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D16.01 | Benign neoplasm of scapula and long bones of right upper limbCMS: Benign neoplm of scapula and long bones of right upper limb | Can lead a claim | K | None |
| D16.02 | Benign neoplasm of scapula and long bones of left upper limb | Can lead a claim | K | None |
| D16.1 Benign neoplasm of short bones of upper limb | ||||
| D16.10 | Benign neoplasm of short bones of unspecified upper limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D16.11 | Benign neoplasm of short bones of right upper limb | Can lead a claim | K | None |
| D16.12 | Benign neoplasm of short bones of left upper limb | Can lead a claim | K | None |
| D16.2 Benign neoplasm of long bones of lower limb | ||||
| D16.20 | Benign neoplasm of long bones of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D16.21 | Benign neoplasm of long bones of right lower limb | Can lead a claim | K | None |
| D16.22 | Benign neoplasm of long bones of left lower limb | Can lead a claim | K | None |
| D16.3 Benign neoplasm of short bones of lower limb | ||||
| D16.30 | Benign neoplasm of short bones of unspecified lower limb | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D16.31 | Benign neoplasm of short bones of right lower limb | Can lead a claim | K | None |
| D16.32 | Benign neoplasm of short bones of left lower limb | Can lead a claim | K | None |
| D16.4 | Benign neoplasm of bones of skull and face | Can lead a claim | K | None |
| D16.5 | Benign neoplasm of lower jaw bone | Can lead a claim | K | None |
| D16.6 | Benign neoplasm of vertebral column | Can lead a claim | K | None |
| D16.7 | Benign neoplasm of ribs, sternum and clavicle | Can lead a claim | K | None |
| D16.8 | Benign neoplasm of pelvic bones, sacrum and coccyx | Can lead a claim | K | None |
| D16.9 | Benign neoplasm of bone and articular cartilage, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | 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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