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D23.6 vs D49.2

D23.6 (Other benign neoplasm of skin of upper limb, including shoulder) compared with D49.2 (Neoplasm of unspecified behavior of bone, soft tissue, and skin), from the official CMS tabular data. D23.6 and D49.2 name the same anatomical site (nail) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D23.6
Other benign neoplasm of skin of upper limb, including shoulder
D49.2
Neoplasm of unspecified behavior of bone, soft tissue, and skin

Same anatomical site, different neoplasm behavior.

Same site — unspecified behavior (nail)

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. D23.6 and D49.2 name the same anatomical site (nail) with a different neoplasm behavior.

From the CMS 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

D23.6Other benign neoplasm of skin of upper limb, including shoulderD49.2Neoplasm of unspecified behavior of bone, soft tissue, and skin
Billing statusNon-billable header

Report instead: D23.60, D23.61, D23.62

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionOther benign neoplasm of skin of upper limb, including shoulder is a non-billable ICD-10-CM category code (D23.6).Neoplasm of unspecified behavior of bone, soft tissue, and skin is a billable ICD-10-CM diagnosis code (D49.2).
Includes
benign neoplasm of hair follicles
benign neoplasm of sebaceous glands
benign neoplasm of sweat glands
'growth' NOS
neoplasm NOS
new growth NOS
tumor NOS

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