D16.5 — Benign neoplasm of lower jaw bone
Is D16.5 billable?
Yes — D16.5 is billable for FY2027. D16.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. D16.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
D16.5 at a glance
| Code | D16.5 |
|---|---|
| Description | Benign neoplasm of lower jaw bone |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does D16.5 group to?
D16.5 sits in MDC Pre and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 011Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with MCCsurgical
- 012Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy with CCsurgical
- 013Tracheostomy for Face, Mouth and Neck Diagnoses or Laryngectomy without CC/MCCsurgical
How is D16.5 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to D16.5. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Cyst › calcifying odontogenic (colloid) (mucous) (simple) (retention)
Inclusion terms
Alternative wording in documentation that is classified to D16.5.
- Keratocyst of mandible
- Keratocystic odontogenic tumor of mandible
Excludes1 — never code together — inherited from D16
The conditions below can never be reported together with D16.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
How long has D16.5 existed?
D16.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the D16 family? (9)
- D16.0Benign neoplasm of scapula and long bones of upper limbnot billable
- D16.1Benign neoplasm of short bones of upper limbnot billable
- D16.2Benign neoplasm of long bones of lower limbnot billable
- D16.3Benign neoplasm of short bones of lower limbnot billable
- D16.4Benign neoplasm of bones of skull and face
- D16.6Benign neoplasm of vertebral column
- D16.7Benign neoplasm of ribs, sternum and clavicle
- D16.8Benign neoplasm of pelvic bones, sacrum and coccyx
- D16.9Benign neoplasm of bone and articular cartilage, unspecified