2021

  1. ICD-10-CM Codes
    2. ›
  2. C00-D49 Neoplasms
    3. ›
  3. D10-D36 Benign neoplasms, except benign neuroendocrine tumors
    4. ›
  4. D16- Benign neoplasm of bone and articular cartilage
    5. ›
  5. 2021 ICD-10-CM Diagnosis Code D16.4

2021 ICD-10-CM Diagnosis Code D16.4

Benign neoplasm of bones of skull and face

    2016 2017 2018 2019 2020 2021 Billable/Specific Code
  • D16.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM D16.4 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of D16.4 - other international versions of ICD-10 D16.4 may differ.
Applicable To
  • Benign neoplasm of maxilla (superior)
  • Benign neoplasm of orbital bone
  • Keratocyst of maxilla
  • Keratocystic odontogenic tumor of maxilla
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (D16.4) and the excluded code together.
  • benign neoplasm of lower jaw bone (
    ICD-10-CM Diagnosis Code D16.5

    Benign neoplasm of lower jaw bone

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Keratocyst of mandible
    • Keratocystic odontogenic tumor of mandible
    D16.5
    )
The following code(s) above D16.4 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to D16.4:
  • C00-D49
    2021 ICD-10-CM Range C00-D49

    Neoplasms

    Note
    • Functional activity
    • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
    • Morphology [Histology]
    • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
    • Primary malignant neoplasms overlapping site boundaries
    • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
    • Malignant neoplasm of ectopic tissue
    • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
    Neoplasms
  • D16
    ICD-10-CM Diagnosis Code D16

    Benign neoplasm of bone and articular cartilage

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • benign neoplasm of connective tissue of ear (D21.0)
    • benign neoplasm of connective tissue of eyelid (D21.0)
    • benign neoplasm of connective tissue of larynx (D14.1)
    • benign neoplasm of connective tissue of nose (D14.0)
    • benign neoplasm of synovia (D21.-)
    Benign neoplasm of bone and articular cartilage
Approximate Synonyms
  • Benign neoplasm of bone of skull
  • Benign neoplasm of face bone
  • Benign neoplasm, facial bones
  • Benign neoplasm, skull
  • Cystic dermoid choristoma of skull
  • Dermoid, skull
  • Fibromyxoma of maxilla
  • Maxillary fibromyxoma
  • Nasal sinus osteoma
  • Osteoma of face
  • Osteoma of orbit
  • Osteoma of sinus
  • Osteoma of skull
  • Osteoma, orbit
ICD-10-CM D16.4 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 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
  • 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

Convert D16.4 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to D16.4:
  • Type 1 Excludes: D10.39
    , D14.0
    , D14.0
    , D31.6
    ICD-10-CM Diagnosis Code D10.39

    Benign neoplasm of other parts of mouth

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Benign neoplasm of minor salivary gland NOS
    Type 1 Excludes
    • benign odontogenic neoplasms (D16.4-D16.5)
    • benign neoplasm of mucosa of lip (D10.0)
    • benign neoplasm of nasopharyngeal surface of soft palate (D10.6)
    ICD-10-CM Diagnosis Code D14.0

    Benign neoplasm of middle ear, nasal cavity and accessory sinuses

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Benign neoplasm of cartilage of nose
    Type 1 Excludes
    • benign neoplasm of auricular canal (external) (D22.2-, D23.2-)
    • benign neoplasm of bone of ear (D16.4)
    • benign neoplasm of bone of nose (D16.4)
    • benign neoplasm of cartilage of ear (D21.0)
    • benign neoplasm of ear (external)(skin) (D22.2-, D23.2-)
    • benign neoplasm of nose NOS (D36.7)
    • benign neoplasm of skin of nose (D22.39, D23.39)
    • benign neoplasm of olfactory bulb (D33.3)
    • benign neoplasm of posterior margin of septum and choanae (D10.6)
    • polyp of accessory sinus (J33.8)
    • polyp of ear (middle) (H74.4)
    • polyp of nasal (cavity) (J33.-)
    ICD-10-CM Diagnosis Code D14.0

    Benign neoplasm of middle ear, nasal cavity and accessory sinuses

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Benign neoplasm of cartilage of nose
    Type 1 Excludes
    • benign neoplasm of auricular canal (external) (D22.2-, D23.2-)
    • benign neoplasm of bone of ear (D16.4)
    • benign neoplasm of bone of nose (D16.4)
    • benign neoplasm of cartilage of ear (D21.0)
    • benign neoplasm of ear (external)(skin) (D22.2-, D23.2-)
    • benign neoplasm of nose NOS (D36.7)
    • benign neoplasm of skin of nose (D22.39, D23.39)
    • benign neoplasm of olfactory bulb (D33.3)
    • benign neoplasm of posterior margin of septum and choanae (D10.6)
    • polyp of accessory sinus (J33.8)
    • polyp of ear (middle) (H74.4)
    • polyp of nasal (cavity) (J33.-)
    ICD-10-CM Diagnosis Code D31.6

    Benign neoplasm of unspecified site of orbit

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Applicable To
    • Benign neoplasm of connective tissue of orbit
    • Benign neoplasm of extraocular muscle
    • Benign neoplasm of peripheral nerves of orbit
    • Benign neoplasm of retrobulbar tissue
    • Benign neoplasm of retro-ocular tissue
    Type 1 Excludes
    • benign neoplasm of orbital bone (D16.4)
  • Type 2 Excludes: K09.0
    , K09.0
    ICD-10-CM Diagnosis Code K09.0

    Developmental odontogenic cysts

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Dentigerous cyst
    • Eruption cyst
    • Follicular cyst
    • Gingival cyst
    • Lateral periodontal cyst
    • Primordial cyst
    Type 2 Excludes
    ICD-10-CM Diagnosis Code K09.0

    Developmental odontogenic cysts

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Dentigerous cyst
    • Eruption cyst
    • Follicular cyst
    • Gingival cyst
    • Lateral periodontal cyst
    • Primordial cyst
    Type 2 Excludes

Diagnosis Index entries containing back-references to D16.4:
  • Cyst (colloid) (mucous) (simple) (retention)
    • calcifying odontogenic D16.5
      ICD-10-CM Diagnosis Code D16.5

      Benign neoplasm of lower jaw bone

        2016 2017 2018 2019 2020 2021 Billable/Specific Code
      Applicable To
      • Keratocyst of mandible
      • Keratocystic odontogenic tumor of mandible
      • upper jaw D16.4 (bone) (maxilla)

ICD-10-CM Codes Adjacent To D16.4
D16.11 Benign neoplasm of short bones of right upper limb
D16.12 Benign neoplasm of short bones of left upper limb
D16.2 Benign neoplasm of long bones of lower 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
D16.3 Benign neoplasm of short bones of 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
D17 Benign lipomatous neoplasm
D17.0 Benign lipomatous neoplasm of skin and subcutaneous tissue of head, face and neck
D17.1 Benign lipomatous neoplasm of skin and subcutaneous tissue of trunk
D17.2 Benign lipomatous neoplasm of skin and subcutaneous tissue of limb
D17.20 Benign lipomatous neoplasm of skin and subcutaneous tissue of unspecified limb

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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