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C51.9 vs D28.0

C51.9 (Malignant neoplasm of vulva, unspecified) compared with D28.0 (Benign neoplasm of vulva), from the official CMS tabular data. C51.9 and D28.0 name the same anatomical site (fourchette) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C51.9
Malignant neoplasm of vulva, unspecified
D28.0
Benign neoplasm of vulva

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (fourchette)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. C51.9 and D28.0 name the same anatomical site (fourchette) with a different neoplasm behavior.

From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

C51.9Malignant neoplasm of vulva, unspecifiedD28.0Benign neoplasm of vulva
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionMalignant neoplasm of vulva, unspecified is a billable ICD-10-CM diagnosis code (C51.9).Benign neoplasm of vulva is a billable ICD-10-CM diagnosis code (D28.0).
Includes
malignant neoplasm of skin of female genital organs
Malignant neoplasm of external female genitalia NOS
Malignant neoplasm of pudendum
adenomatous polyp
benign neoplasm of skin of female genital organs
benign teratoma

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources