D12.1
Billable codeBenign neoplasm of appendix
The ICD-10 code for benign neoplasm of appendix is D12.1.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- benign carcinoid tumor of the appendix (D3A.020)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- D12.0Benign neoplasm of cecum
- D12.2Benign neoplasm of ascending colon
- D12.3Benign neoplasm of transverse colon
- D12.4Benign neoplasm of descending colon
- D12.5Benign neoplasm of sigmoid colon
- D12.6Benign neoplasm of colon, unspecified
- D12.7Benign neoplasm of rectosigmoid junction
- D12.8Benign neoplasm of rectum
- D12.9Benign neoplasm of anus and anal canal
- D12.1Benign neoplasm of appendix
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 2113Approximate match
Associated MS-DRGs
D12.1 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 314Other Circulatory System Diagnoses with MCC
- DRG 315Other Circulatory System Diagnoses with CC
- DRG 316Other Circulatory System Diagnoses without CC/MCC
- DRG 393Other Digestive System Diagnoses with MCC
- DRG 394Other Digestive System Diagnoses with CC
- DRG 395Other Digestive System Diagnoses without CC/MCC