ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group D16 includes benign neoplasms of bone and articular cartilage, such as osteochondroma, enchondroma, and other nonmalignant cartilaginous tumors affecting specific skeletal sites. These ICD-10-CM diagnosis codes are used to document the presence and anatomical location of nonmalignant bone and cartilage tumors, capturing clinical detail about site and morphology relevant to treatment planning and follow-up. Accurate coding within the ICD-10-CM D16 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

Customize your policy alerts

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group D16 covers benign tumors arising in bone and articular cartilage. These diagnoses target the musculoskeletal system and joint structures and include lesions such as osteochondromas and enchondromas. Accurate coding supports correct reimbursement by reflecting the specific site and nature of the benign neoplasm for claims processing.

Explore openpayer tools

View all tools

ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

Customize your policy alerts

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

Get alerted when relevant policies change without checking for updates manually.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

When to Use

Use codes from this group when a clinician documents a benign bone or articular cartilage neoplasm with specified site and histology during evaluation, treatment, or follow-up. Select the code that corresponds to the documented tumor type and anatomical location to reflect clinical detail needed for claims and medical records.

ICD-10-CM Codes

18 rows

ICD-10-CM Code	Description
D16.00	Benign neoplasm of scapula and long bones of unspecified upper limb
D16.01	Benign neoplasm of scapula and long bones of right upper limb
D16.02	Benign neoplasm of scapula and long bones of left upper limb
D16.10	Benign neoplasm of short bones of unspecified upper limb
D16.11	Benign neoplasm of short bones of right upper limb
D16.12	Benign neoplasm of short bones of left upper limb
D16.20	Benign neoplasm of long bones of unspecified lower limb
D16.21	Benign neoplasm of long bones of right lower limb
D16.22	Benign neoplasm of long bones of left lower limb
D16.30	Benign neoplasm of short bones of unspecified lower limb
D16.31	Benign neoplasm of short bones of right lower limb
D16.32	Benign neoplasm of short bones of left lower limb
D16.4	Benign neoplasm of bones of skull and face
D16.5	Benign neoplasm of lower jaw bone
D16.6	Benign neoplasm of vertebral column
D16.7	Benign neoplasm of ribs, sternum and clavicle
D16.8	Benign neoplasm of pelvic bones, sacrum and coccyx
D16.9	Benign neoplasm of bone and articular cartilage, unspecified

DRG Codes

15 rows

DRG Code	Description
011	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
012	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
013	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
157	Dental and Oral Diseases with MCC
158	Dental and Oral Diseases with CC
159	Dental and Oral Diseases without CC/MCC
180	Respiratory Neoplasms with MCC
181	Respiratory Neoplasms with CC
182	Respiratory Neoplasms without CC/MCC
456	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
457	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC

Typical Clinical Scenarios

An adult presents to orthopedics with progressive, localized knee pain and a palpable mass near the distal femur after months of intermittent discomfort. Imaging (X‑ray and MRI) shows a well-demarcated, osteolytic lesion arising from the metaphysis of the distal femur without cortical breach or periosteal reaction, and biopsy confirms a benign osteochondroma; the visit documents symptom management and surveillance of the benign bone tumor. Typical codes: D16.10, D16.11
A middle‑aged patient with long‑standing, slowly enlarging swelling of the proximal humerus seeks evaluation for decreased shoulder range of motion; radiographs reveal a cartilaginous lesion involving the head of the humerus consistent with an enchondroma, and treatment planning includes periodic imaging and possible curettage if symptomatic. Typical codes: D16.30, D16.31
An elderly patient presents to the emergency department after a low‑impact fall with acute wrist pain; radiographs show a nondisplaced distal radius fracture through a preexisting benign bone lesion identified on prior records as a bone island (enostosis) in the distal radius, and the encounter documents fracture care with notation of the benign neoplasm as a contributing condition. Typical codes: D16.02, D16.01

ICD-10-CM Code For Benign Neoplasm Of Mouth And Pharynx: Group Overview

D11-BENIGN-NEOPLASM-MAJOR-SALIVARY-GLANDS

ICD-10-CM Code For Benign Neoplasm Of Major Salivary Glands: Group Overview

D12-BENIGN-NEOPLASM-COLON-RECTUM-ANUS

ICD-10-CM Code For Benign Neoplasm Of Colon Rectum Anus And Anal Canal: Group Overview

D13-BENIGN-NEOPLASM-OTHER-DIGESTIVE

ICD-10-CM Code For Benign Neoplasm Of Other And Ill-Defined Parts Of Digestive System: Group Overview

D14-BENIGN-MIDDLE-EAR-AND-RESPIRATORY-NEOPLASMS

ICD-10-CM Code For Benign Neoplasm Of Middle Ear And Respiratory System: Group Overview

D15-BENIGN-NEOPLASM-INTRATHORACIC-ORGANS

ICD-10-CM Code For Benign Neoplasm Of Other And Unspecified Intrathoracic Organs: Group Overview

D17-BENIGN-LIPOMATOUS-NEOPLASM

ICD-10-CM Code For Benign Lipomatous Neoplasm: Group Overview

D18-HEMANGIOMA-AND-LYMPHANGIOMA

ICD-10-CM Code For Hemangioma And Lymphangioma, Any Site: Group Overview

D19-BENIGN-MESOTHELIAL-NEOPLASMS

ICD-10-CM Code For Benign Neoplasm Of Mesothelial Tissue: Group Overview

D20-BENIGN-SOFT-TISSUE-RETROPERITONEUM

ICD-10-CM Code For Benign Neoplasm Of Soft Tissue Of Retroperitoneum And Peritoneum: Group Overview

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

When to Use

ICD-10-CM Codes

18 rows

ICD-10-CM Code	Description
D16.00	Benign neoplasm of scapula and long bones of unspecified upper limb
D16.01	Benign neoplasm of scapula and long bones of right upper limb
D16.02	Benign neoplasm of scapula and long bones of left upper limb
D16.10	Benign neoplasm of short bones of unspecified upper limb
D16.11	Benign neoplasm of short bones of right upper limb
D16.12	Benign neoplasm of short bones of left upper limb
D16.20	Benign neoplasm of long bones of unspecified lower limb
D16.21	Benign neoplasm of long bones of right lower limb
D16.22	Benign neoplasm of long bones of left lower limb
D16.30	Benign neoplasm of short bones of unspecified lower limb
D16.31	Benign neoplasm of short bones of right lower limb
D16.32	Benign neoplasm of short bones of left lower limb
D16.4	Benign neoplasm of bones of skull and face
D16.5	Benign neoplasm of lower jaw bone
D16.6	Benign neoplasm of vertebral column
D16.7	Benign neoplasm of ribs, sternum and clavicle
D16.8	Benign neoplasm of pelvic bones, sacrum and coccyx
D16.9	Benign neoplasm of bone and articular cartilage, unspecified

DRG Codes

15 rows

DRG Code	Description
011	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
012	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
013	Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
157	Dental and Oral Diseases with MCC
158	Dental and Oral Diseases with CC
159	Dental and Oral Diseases without CC/MCC
180	Respiratory Neoplasms with MCC
181	Respiratory Neoplasms with CC
182	Respiratory Neoplasms without CC/MCC
456	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
457	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
458	Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
564	Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
565	Other Musculoskeletal System and Connective Tissue Diagnoses with CC
566	Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC

Typical Clinical Scenarios

An adult presents to orthopedics with progressive, localized knee pain and a palpable mass near the distal femur after months of intermittent discomfort. Imaging (X‑ray and MRI) shows a well-demarcated, osteolytic lesion arising from the metaphysis of the distal femur without cortical breach or periosteal reaction, and biopsy confirms a benign osteochondroma; the visit documents symptom management and surveillance of the benign bone tumor. Typical codes: D16.10, D16.11
A middle‑aged patient with long‑standing, slowly enlarging swelling of the proximal humerus seeks evaluation for decreased shoulder range of motion; radiographs reveal a cartilaginous lesion involving the head of the humerus consistent with an enchondroma, and treatment planning includes periodic imaging and possible curettage if symptomatic. Typical codes: D16.30, D16.31
An elderly patient presents to the emergency department after a low‑impact fall with acute wrist pain; radiographs show a nondisplaced distal radius fracture through a preexisting benign bone lesion identified on prior records as a bone island (enostosis) in the distal radius, and the encounter documents fracture care with notation of the benign neoplasm as a contributing condition. Typical codes: D16.02, D16.01

ICD-10-CM Code For Benign Neoplasm Of Mouth And Pharynx: Group Overview

D11-BENIGN-NEOPLASM-MAJOR-SALIVARY-GLANDS

ICD-10-CM Code For Benign Neoplasm Of Major Salivary Glands: Group Overview

D12-BENIGN-NEOPLASM-COLON-RECTUM-ANUS

ICD-10-CM Code For Benign Neoplasm Of Colon Rectum Anus And Anal Canal: Group Overview

D13-BENIGN-NEOPLASM-OTHER-DIGESTIVE

ICD-10-CM Code For Benign Neoplasm Of Other And Ill-Defined Parts Of Digestive System: Group Overview

D14-BENIGN-MIDDLE-EAR-AND-RESPIRATORY-NEOPLASMS

ICD-10-CM Code For Benign Neoplasm Of Middle Ear And Respiratory System: Group Overview

D15-BENIGN-NEOPLASM-INTRATHORACIC-ORGANS

ICD-10-CM Code For Benign Neoplasm Of Other And Unspecified Intrathoracic Organs: Group Overview

D17-BENIGN-LIPOMATOUS-NEOPLASM

ICD-10-CM Code For Benign Lipomatous Neoplasm: Group Overview

D18-HEMANGIOMA-AND-LYMPHANGIOMA

ICD-10-CM Code For Hemangioma And Lymphangioma, Any Site: Group Overview

D19-BENIGN-MESOTHELIAL-NEOPLASMS

ICD-10-CM Code For Benign Neoplasm Of Mesothelial Tissue: Group Overview

D20-BENIGN-SOFT-TISSUE-RETROPERITONEUM

ICD-10-CM Code For Benign Neoplasm Of Soft Tissue Of Retroperitoneum And Peritoneum: Group Overview

Showing 1–10 of 26

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

OpenPayer

ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

References

ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview

Sign up for ICD-10-CM Code For Benign Neoplasm Of Bone And Articular Cartilage: Group Overview policy alerts

ICD-10-CM D16: Benign Neoplasm Of Bone And Articular Cartilage Overview

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in ICD-10-CM code group D16?

How are anatomical sites specified within the D16 code group?

What is the purpose of using `D16.9` versus a more specific D16 code?

How does accurate coding within the D16 group affect reimbursement and claims processing?

Which related DRGs may be associated with diagnoses in the D16 group?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in ICD-10-CM code group D16?

How are anatomical sites specified within the D16 code group?

What is the purpose of using `D16.9` versus a more specific D16 code?

How does accurate coding within the D16 group affect reimbursement and claims processing?

Which related DRGs may be associated with diagnoses in the D16 group?

References