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D13.2 ICD-10-CM Code: Benign neoplasm of duodenum

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 Excludes1

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

  • MS-DRG 393 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC (MDC 06)
  • MS-DRG 394 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC (MDC 06)
  • MS-DRG 395 — OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC (MDC 06)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for D13.2 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on D13.2 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Coder workflow for D13.2

MedCoder structured workflow — derived from this code’s own official record

Before you code D13.2

  1. Confirm the documented site and behavior (this code’s block classifies benign neoplasms), whether the site is primary or secondary, and whether the malignancy is current or a personal history: a previously excised malignancy with no further treatment and no evidence of disease is history, not current disease. Verify the site against the Table of Neoplasms. Neoplasm chapter guidelines (Guidelines I.C.2.a, I.C.2.d, I.C.2.m).

    See the Table of Neoplasms entries · Guide: Active cancer vs history of cancer →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with D13.2. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in D13.2’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewD3A.010, D21.4

Consider D13.2. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Anatomical site
At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
Behavior and current-versus-history status
Malignant, in situ, benign or uncertain; primary or secondary; current disease or personal history (Guidelines I.C.2.m).

Official instructions as workflow

  • Excludes1 — check before selecting D13.2(2 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with D13.2: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareD3A.010, D21.4

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition D13.2 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewD3A.010, D21.4

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse D13.2 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of D13.2 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • D3A.010— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of benign carcinoid tumor of the duodenum moves the case to D3A.010; the two are not reported together unless documented as unrelated.

    Full comparison: D13.2 vs D3A.010 →

  • D21.4— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of benign stromal tumors of digestive system moves the case to D21.4; the two are not reported together unless documented as unrelated.

    Full comparison: D13.2 vs D21.4 →

  • D13.3— Specificity relationship (Review)

    Overlapping diagnoses in the same category.

    Overlapping codes in the same category — the documentation decides which is the more specific fit.

    What moves you there: A record that documents no more than “Benign neoplasm of other and unspecified parts of small intestine” takes D13.3; specificity in the record moves it back here.

    Full comparison: D13.2 vs D13.3 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Code Overview

Benign neoplasm of duodenum is a billable ICD-10-CM diagnosis code (D13.2).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Neoplasm Table Sites (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Anatomical sites from the official ICD-10-CM Table of Neoplasms that map to this code, with the matching behavior column.

  • Neoplasm, neoplastic, duodenum — Benign
  • Neoplasm, neoplastic, intestine, intestinal, small, duodenum — Benign

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name D13.2 or its code family, from the CMS Table of Neoplasms and the CMS Table of Neoplasms (site match derived from the code title).

Referenced by 5 Same-site neoplasm codes: C17.0 — Malignant neoplasm of duodenumCompare D13.2 vs C17.0 →, C78.4 — Secondary malignant neoplasm of small intestineCompare D13.2 vs C78.4 →, D01.49 — Carcinoma in situ of other parts of intestineCompare D13.2 vs D01.49 →, D37.2 — Neoplasm of uncertain behavior of small intestineCompare D13.2 vs D37.2 →, D49.0 — Neoplasm of unspecified behavior of digestive systemCompare D13.2 vs D49.0 →.

These codes represent related neoplasm behaviors affecting the same anatomic site.

Referenced by 7 Screening & history codes: Z12.13 — Encounter for screening for malignant neoplasm of small intestineCompare D13.2 vs Z12.13 →, Z85.03 — Personal history of malignant neoplasm of large intestineCompare D13.2 vs Z85.03 →, Z85.030 — Personal history of malignant carcinoid tumor of large intestineCompare D13.2 vs Z85.030 →, Z85.038 — Personal history of other malignant neoplasm of large intestineCompare D13.2 vs Z85.038 →, Z85.06 — Personal history of malignant neoplasm of small intestineCompare D13.2 vs Z85.06 →, Z85.060 — Personal history of malignant carcinoid tumor of small intestineCompare D13.2 vs Z85.060 →, Z85.068 — Personal history of other malignant neoplasm of small intestineCompare D13.2 vs Z85.068 →.

These codes represent screening tests and history codes that refer to this active disease condition.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 3 MS-DRGs: DRG 393 (MDC 06), DRG 394 (MDC 06), DRG 395 (MDC 06).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):NEO073 — Benign neoplasms (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Benign neoplasms).

D12.2 — Benign neoplasm of ascending colon, D12.3 — Benign neoplasm of transverse colon, D12.4 — Benign neoplasm of descending colon, D12.5 — Benign neoplasm of sigmoid colon, D12.6 — Benign neoplasm of colon, unspecified, D12.7 — Benign neoplasm of rectosigmoid junction, D12.8 — Benign neoplasm of rectum, D12.9 — Benign neoplasm of anus and anal canal, D13.0 — Benign neoplasm of esophagus, D13.1 — Benign neoplasm of stomach, D13.30 — Benign neoplasm of unspecified part of small intestine, D13.39 — Benign neoplasm of other parts of small intestine, D13.4 — Benign neoplasm of liver, D13.5 — Benign neoplasm of extrahepatic bile ducts, D13.6 — Benign neoplasm of pancreas, D13.7 — Benign neoplasm of endocrine pancreas, D13.9 — Benign neoplasm of ill-defined sites within the digestive system, D13.91 — Familial adenomatous polyposis, D13.99 — Benign neoplasm of ill-defined sites within the digestive system, D14.0 — Benign neoplasm of middle ear, nasal cavity and accessory sinuses, +252 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Paraganglioma”; these codes share that main term but sit in a different category of the Tabular List.

C74.1 — Malignant neoplasm of medulla of adrenal gland (adrenal, malignant), C75.4 — Malignant neoplasm of carotid body (carotid body, malignant), C75.5 — Malignant neoplasm of aortic body and other paraganglia (malignant), D35.0 — Benign neoplasm of adrenal gland (adrenal), D44.6 — Neoplasm of uncertain behavior of carotid body (carotid body), D44.7 — Neoplasm of uncertain behavior of aortic body and other paraganglia

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Fecal Occult Blood Test (FOBT), Iron Panel

Contextual Map

Every relationship of D13.2 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run D13.2 with this related code in Claim Check

Hierarchy

Excludes1

Same site

Referenced by Same-site neoplasm codes

Referenced by Screening & history codes MedCoder-derived

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • MDC 06 — Diseases and Disorders of the Digestive System[MDC crossing]: “Diseases and Disorders of the Digestive System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 5,748 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Neoplasm sites

  • Neoplasm, neoplastic, duodenum — Neoplasm, neoplastic, duodenum — Benign [Neoplasm table]: “Neoplasm, neoplastic, duodenum (Benign)”— CMS Table of Neoplasms · icd10cm-fy2026
  • Neoplasm, neoplastic, intestine, intestinal, small, duodenum — Neoplasm, neoplastic, intestine, intestinal, small, duodenum — Benign [Neoplasm table]: “Neoplasm, neoplastic, intestine, intestinal, small, duodenum (Benign)”— CMS Table of Neoplasms · icd10cm-fy2026

Index entries

  • Paraganglioma, gangliocytic[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Paraganglioma, gangliocytic, unspecified site[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (13)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "D13.2 — Benign neoplasm of duodenum." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/d13.2-benign-neoplasm-of-duodenum

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Benign neoplasm of duodenum

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to D13.2 in its code family, with their registry titles.

View all codes in the D13 family