D16.4
Billable codeBenign neoplasm of bones of skull and face
The ICD-10 code for benign neoplasm of bones of skull and face is D16.4.
Clinical notes
Excludes2 (not included here)
An Excludes2 note means the excluded condition is not part of this one, but a patient can have both at the same time — in that case both codes may be reported together.
- benign neoplasm of lower jaw bone (D16.5)
Also known as
Alternate wording, synonyms, or specific conditions that fall under this code, listed to help confirm you've picked the right one.
- Benign neoplasm of maxilla (superior)
- Benign neoplasm of orbital bone
- Keratocyst of maxilla
- Keratocystic odontogenic tumor of maxilla
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- D16.0Benign neoplasm of scapula and long bones of upper limbnon-billable header
- D16.1Benign neoplasm of short bones of upper limbnon-billable header
- D16.2Benign neoplasm of long bones of lower limbnon-billable header
- D16.3Benign neoplasm of short bones of lower limbnon-billable header
- D16.5Benign neoplasm of lower jaw bone
- D16.6Benign neoplasm of vertebral column
- D16.7Benign neoplasm of ribs, sternum and clavicle
- D16.8Benign neoplasm of pelvic bones, sacrum and coccyx
- D16.9Benign neoplasm of bone and articular cartilage, unspecified
- D16.4Benign neoplasm of bones of skull and face
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 2130
Associated MS-DRGs
D16.4 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 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCC
- DRG 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CC
- DRG 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCC
- DRG 564Other Musculoskeletal System and Connective Tissue Diagnoses with MCC
- DRG 565Other Musculoskeletal System and Connective Tissue Diagnoses with CC
- DRG 566Other Musculoskeletal System and Connective Tissue Diagnoses without CC/MCC