ICD-10 · PDGM grouping
D36 Benign neoplasm of other and unspecified sites
All 11 codes in the D36 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
10
Cannot lead a claim
1
What CMS assigns to D36
10 of the 11 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 1 is assigned no clinical group. None of the 11 is assigned a comorbidity subgroup. 10 of the 11 can lead a claim.
Every code in D36
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 |
|---|---|---|---|---|
| D36.0 | Benign neoplasm of lymph nodes | Can lead a claim | K | None |
| D36.1 Benign neoplasm of peripheral nerves and autonomic nervous system | ||||
| D36.10 | Benign neoplasm of peripheral nerves and autonomic nervous system, unspecifiedCMS: Benign neoplasm of prph nerves and autonm nervous sys, unsp | Can lead a claim | K | None |
| D36.11 | Benign neoplasm of peripheral nerves and autonomic nervous system of face, head, and neckCMS: Ben neoplm of prph nerves and autonm nrv sys of face/hed/nk | Can lead a claim | K | None |
| D36.12 | Benign neoplasm of peripheral nerves and autonomic nervous system, upper limb, including shoulderCMS: Ben neoplm of prph nrv & autonm nrv sys, upr lmb, inc shldr | Can lead a claim | K | None |
| D36.13 | Benign neoplasm of peripheral nerves and autonomic nervous system of lower limb, including hipCMS: Ben neoplm of prph nrv & autonm nrv sys of low lmb, inc hip | Can lead a claim | K | None |
| D36.14 | Benign neoplasm of peripheral nerves and autonomic nervous system of thoraxCMS: Benign neoplm of prph nerves and autonm nrv sys of thorax | Can lead a claim | K | None |
| D36.15 | Benign neoplasm of peripheral nerves and autonomic nervous system of abdomenCMS: Benign neoplm of prph nerves and autonm nervous sys of abd | Can lead a claim | K | None |
| D36.16 | Benign neoplasm of peripheral nerves and autonomic nervous system of pelvisCMS: Benign neoplm of prph nerves and autonm nrv sys of pelvis | Can lead a claim | K | None |
| D36.17 | Benign neoplasm of peripheral nerves and autonomic nervous system of trunk, unspecifiedCMS: Ben neoplm of prph nerves and autonm nrv sys of trunk, unsp | Can lead a claim | K | None |
| D36.7 | Benign neoplasm of other specified sites | Can lead a claim | K | None |
| D36.9 | Benign neoplasm, unspecified site | 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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