ICD-10 Code D16.00 – Benign neoplasm of scapula and long bones of unspecified upper limb (2026): Diagnosis, Symptoms & Billing Guide
2026 ICD-10-CM Diagnosis Code D16.00 – Benign neoplasm of scapula and long bones of unspecified upper limb
What it is
D16.00 identifies a noncancerous bone tumor in the scapula or a long bone of the upper limb when the exact upper-limb site is not specified. Use it when documentation confirms a benign neoplasm but lacks laterality or a more precise bone location.
Clinical signs
Clinical features vary; refer to documentation. Patients may have localized pain, swelling, a palpable mass, or an incidental imaging finding showing a benign-appearing bone lesion in the shoulder girdle or upper extremity.
When to use this code
Use this code when the provider documents a benign neoplasm involving the scapula or an upper-limb long bone, and the record does not specify a more exact bone or side. It is appropriate for pathology-confirmed or imaging-documented benign bone tumors. If the note is unclear, check documentation before assigning the code.
Do not use for
Do not use D16.00 for malignant bone tumors, metastatic disease, or lesions described as cysts, fractures, or infections. If the site is a different bone or the record identifies a more specific upper-limb location, code that diagnosis instead.
Coding tip
Look for the exact bone named in the record; if the provider specifies laterality or a more precise site, choose the more specific ICD-10 code.