Skip to main content

D14.0 ICD-10-CM Code: Benign neoplasm of middle ear, nasal cavity and accessory sinuses

Compare with another code for D14.0Check this code on a claim

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

Coding at a Glance

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Excludes1Not reported with this code unless documented as unrelated
  • 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)

+8 more in Instructions

IncludesWhat this code covers
  • Benign neoplasm of cartilage of nose

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

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 011 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH MCC (MDC PRE)
  • MS-DRG 012 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITH CC (MDC PRE)
  • MS-DRG 013 — TRACHEOSTOMY FOR FACE, MOUTH AND NECK DIAGNOSES OR LARYNGECTOMY WITHOUT CC/MCC (MDC PRE)
  • MS-DRG 154 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH MCC (MDC 03)
  • MS-DRG 155 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITH CC (MDC 03)
  • MS-DRG 156 — OTHER EAR, NOSE, MOUTH AND THROAT DIAGNOSES WITHOUT CC/MCC (MDC 03)

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 D14.0 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

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Benign neoplasm of cartilage of nose

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 D14.0

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

Before you code D14.0

  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 D14.0. 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 D14.0’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.

    ReviewD22.2, D23.2, D16.4, D21.0, D36.7, D22.39

Consider D14.0. 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 D14.0(12 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with D14.0: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareD22.2, D23.2, D16.4, D21.0, D36.7, D22.39

    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 D14.0 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).

ReviewD22.2, D23.2, D16.4, D21.0, D36.7, D22.39

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.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Benign neoplasm of middle ear, nasal cavity and accessory sinuses is a billable ICD-10-CM diagnosis code (D14.0).

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

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-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name D14.0 or its code family, from the CMS ICD-10-CM tabular instructional notes, the CMS Table of Neoplasms and the CMS Table of Neoplasms (site match derived from the code title). Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes across 2 chapters: D16 — Benign neoplasm of bone and articular cartilage, D21 — Other benign neoplasms of connective and other soft tissue, J33 — Nasal polyp.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 12 Same-site neoplasm codes: C30.0 — Malignant neoplasm of nasal cavityCompare D14.0 vs C30.0 →, C30.1 — Malignant neoplasm of middle earCompare D14.0 vs C30.1 →, C31.0 — Malignant neoplasm of maxillary sinusCompare D14.0 vs C31.0 →, C31.1 — Malignant neoplasm of ethmoidal sinusCompare D14.0 vs C31.1 →, C31.2 — Malignant neoplasm of frontal sinusCompare D14.0 vs C31.2 →, C31.3 — Malignant neoplasm of sphenoid sinusCompare D14.0 vs C31.3 →, C31.9 — Malignant neoplasm of accessory sinus, unspecifiedCompare D14.0 vs C31.9 →, C78.39 — Secondary malignant neoplasm of other respiratory organsCompare D14.0 vs C78.39 →, D02.3 — Carcinoma in situ of other parts of respiratory systemCompare D14.0 vs D02.3 →, D38.5 — Neoplasm of uncertain behavior of other respiratory organsCompare D14.0 vs D38.5 →, D49.1 — Neoplasm of unspecified behavior of respiratory systemCompare D14.0 vs D49.1 →, D49.2 — Neoplasm of unspecified behavior of bone, soft tissue, and skinCompare D14.0 vs D49.2 →.

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

Referenced by 5 Screening & history codes: Z12.81 — Encounter for screening for malignant neoplasm of oral cavityCompare D14.0 vs Z12.81 →, Z85.22 — Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinusesCompare D14.0 vs Z85.22 →, Z85.81 — Personal history of malignant neoplasm of lip, oral cavity, and pharynxCompare D14.0 vs Z85.81 →, Z85.818 — Personal history of malignant neoplasm of other sites of lip, oral cavity, and pharynxCompare D14.0 vs Z85.818 →, Z85.819 — Personal history of malignant neoplasm of unspecified site of lip, oral cavity, and pharynxCompare D14.0 vs Z85.819 →.

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 6 MS-DRGs: DRG 011 (MDC PRE), DRG 012 (MDC PRE), DRG 013 (MDC PRE), DRG 154 (MDC 03), DRG 155 (MDC 03), DRG 156 (MDC 03).

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).

D13.2 — Benign neoplasm of duodenum, 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, D14.1 — Benign neoplasm of larynx, D14.2 — Benign neoplasm of trachea, D14.30 — Benign neoplasm of unspecified bronchus and lung, D14.31 — Benign neoplasm of right bronchus and lung, D14.32 — Benign neoplasm of left bronchus and lung, D14.4 — Benign neoplasm of respiratory system, unspecified, D15.0 — Benign neoplasm of thymus, D15.1 — Benign neoplasm of heart, D15.2 — Benign neoplasm of mediastinum, D15.7 — Benign neoplasm of other specified intrathoracic organs, +252 more

Same Index main term, other category

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

A63.0 — Anogenital (venereal) warts (acuminatum), A66.1 — Multiple papillomata and wet crab yaws (yaws, plantar or palmar), A67.0 — Primary lesions of pinta (benign pinta), C30.0 — Malignant neoplasm of nasal cavity (specified site, unspecified site), C71.5 — Malignant neoplasm of cerebral ventricle (choroid plexus, malignant), D27.9 — Benign neoplasm of unspecified ovary (serous surface, unspecified site), D30.1 — Benign neoplasm of renal pelvis (renal pelvis, benign), D30.2 — Benign neoplasm of ureter (ureter, benign), D33.0 — Benign neoplasm of brain, supratentorial (choroid plexus), D33.1 — Benign neoplasm of brain, infratentorial (choroid plexus, fourth ventricle), D39.10 — Neoplasm of uncertain behavior of unspecified ovary (serous surface, borderline malignancy, unspecified site), D41.1 — Neoplasm of uncertain behavior of renal pelvis (renal pelvis), D41.2 — Neoplasm of uncertain behavior of ureter (ureter), D41.4 — Neoplasm of uncertain behavior of bladder (bladder), L82.0 — Inflamed seborrheic keratosis (basal cell, inflamed), L82.1 — Other seborrheic keratosis (basal cell)

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.

Iron Panel

Contextual Map

Every relationship of D14.0 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 D14.0 with these 11 related codes in Claim Check

Hierarchy

Excludes1 (12)

Same site (12)

Referenced by Excludes1 notes

Referenced by Same-site neoplasm codes (12)

Referenced by Screening & history codes MedCoder-derived

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

  • Pre-MDC[MDC crossing]: “Pre-MDC — 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. 175 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027
  • MDC 03 — Diseases and Disorders of the Ear, Nose, Mouth and Throat[MDC crossing]: “Diseases and Disorders of the Ear, Nose, Mouth and Throat — 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. 5,151 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Neoplasm sites (40)

  • Neoplasm, neoplastic, antrum (Highmore) (maxillary) — Neoplasm, neoplastic, antrum (Highmore) (maxillary) — Benign [Neoplasm table]: “Neoplasm, neoplastic, antrum (Highmore) (maxillary) (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, antrum (Highmore) (maxillary), tympanicum — Neoplasm, neoplastic, antrum (Highmore) (maxillary), tympanicum — Benign [Neoplasm table]: “Neoplasm, neoplastic, antrum (Highmore) (maxillary), tympanicum (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, auditory, canal (external) (skin), internal — Neoplasm, neoplastic, auditory, canal (external) (skin), internal — Benign [Neoplasm table]: “Neoplasm, neoplastic, auditory, canal (external) (skin), internal (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, auditory, tube — Neoplasm, neoplastic, auditory, tube — Benign [Neoplasm table]: “Neoplasm, neoplastic, auditory, tube (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, auricular canal (external), internal — Neoplasm, neoplastic, auricular canal (external), internal — Benign [Neoplasm table]: “Neoplasm, neoplastic, auricular canal (external), internal (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, cartilage NEC (articular) (joint), nose, nasal — Neoplasm, neoplastic, cartilage NEC (articular) (joint), nose, nasal — Benign [Neoplasm table]: “Neoplasm, neoplastic, cartilage NEC (articular) (joint), nose, nasal (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, cavity, nasal — Neoplasm, neoplastic, cavity, nasal — Benign [Neoplasm table]: “Neoplasm, neoplastic, cavity, nasal (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • Neoplasm, neoplastic, cavity, tympanic — Neoplasm, neoplastic, cavity, tympanic — Benign [Neoplasm table]: “Neoplasm, neoplastic, cavity, tympanic (Benign)”— CMS Table of Neoplasms · icd10cm-fy2027
  • and 32 more

Index entries

  • Papilloma, Schneiderian, unspecified site[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Schneiderian, papilloma, unspecified site[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes

Change history

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

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

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 (40)

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, antrum (Highmore) (maxillary) — Benign
  • Neoplasm, neoplastic, antrum (Highmore) (maxillary), tympanicum — Benign
  • Neoplasm, neoplastic, auditory, canal (external) (skin), internal — Benign
  • Neoplasm, neoplastic, auditory, tube — Benign
  • Neoplasm, neoplastic, auricular canal (external), internal — Benign
  • Neoplasm, neoplastic, cartilage NEC (articular) (joint), nose, nasal — Benign
  • Neoplasm, neoplastic, cavity, nasal — Benign
  • Neoplasm, neoplastic, cavity, tympanic — Benign
  • Neoplasm, neoplastic, concha, nose — Benign
  • Neoplasm, neoplastic, ear (external), inner — Benign
  • Neoplasm, neoplastic, ear (external), middle — Benign
  • Neoplasm, neoplastic, ethmoid (sinus) — Benign
  • Neoplasm, neoplastic, eustachian tube — Benign
  • Neoplasm, neoplastic, frontal, sinus — Benign
  • Neoplasm, neoplastic, mastoid (air cells) (antrum) (cavity) — Benign
  • Neoplasm, neoplastic, maxilla, maxillary (superior), antrum — Benign
  • Neoplasm, neoplastic, maxilla, maxillary (superior), sinus — Benign
  • Neoplasm, neoplastic, mucosa, nasal — Benign
  • Neoplasm, neoplastic, nares, naris (anterior) (posterior) — Benign
  • Neoplasm, neoplastic, nose, nasal, cartilage — Benign
  • Neoplasm, neoplastic, nose, nasal, cavity — Benign
  • Neoplasm, neoplastic, nose, nasal, fossa — Benign
  • Neoplasm, neoplastic, nose, nasal, internal — Benign
  • Neoplasm, neoplastic, nose, nasal, mucosa — Benign
  • Neoplasm, neoplastic, nose, nasal, septum — Benign
  • Neoplasm, neoplastic, nose, nasal, turbinate (mucosa) — Benign
  • Neoplasm, neoplastic, nose, nasal, vestibule — Benign
  • Neoplasm, neoplastic, nostril — Benign
  • Neoplasm, neoplastic, septum, nasal — Benign
  • Neoplasm, neoplastic, sinus (accessory) — Benign
  • Neoplasm, neoplastic, sinus (accessory), ethmoidal — Benign
  • Neoplasm, neoplastic, sinus (accessory), frontal — Benign
  • Neoplasm, neoplastic, sinus (accessory), maxillary — Benign
  • Neoplasm, neoplastic, sinus (accessory), nasal, paranasal NEC — Benign
  • Neoplasm, neoplastic, sinus (accessory), sphenoid — Benign
  • Neoplasm, neoplastic, sphenoid — Benign
  • Neoplasm, neoplastic, sphenoid, sinus — Benign
  • Neoplasm, neoplastic, turbinate (bone), nasal — Benign
  • Neoplasm, neoplastic, tympanic cavity — Benign
  • Neoplasm, neoplastic, vestibule, nose — Benign

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-derived 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 editorial 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.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

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. "D14.0 — Benign neoplasm of middle ear, nasal cavity and accessory sinuses." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/d14.0-benign-neoplasm-of-middle-ear-nasal-cavity-and-accessory-sinuses

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Benign neoplasm of middle ear, nasal cavity and accessory sinuses

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 D14.0 in its code family, with their registry titles.

View all codes in the D14 family