ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D10.30

Billable / Specific

Benign neoplasm of unspecified part of mouth

D10
Block
0
Synonyms
115
LCDs
7
Payer Policies
1
Linked CPTs

About ICD-10-CM D10.30

ICD-10-CM code D10.30 represents Benign neoplasm of unspecified part of mouth. This is a billable/specific code in the Neoplasms chapter (block D10). The 2026 edition of ICD-10-CM D10.30 became effective on October 1, 2025.

Medicare LCD Coverage for D10.30

Local Coverage Determinations (LCDs) from CMS MACs that list D10.30 as a covered diagnosis.

115 LCDs

Showing top 10 of 115 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 20561 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64415 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64447 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64448 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64416 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64405 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64454 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64425 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64450 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D10.30.

7 policies

1 Aetna

Dental Services and Oral and Maxillofacial Surgery: Coverage Under Medical Plans - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0082

5 Medicare

Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695
Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Policy ID: ART-56729
Billing and Coding: Removal of Benign Skin Lesions
Policy ID: ART-57044
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57452

CPT Codes Commonly Billed with D10.30

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 17004 CMS LCD: Billing and Coding: Removal of Benign Skin Lesions CMS LCD

Convert D10.30 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D10.30 2104 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D10.30, Billing FAQ

Is ICD-10 code D10.30 billable? +

Yes, D10.30 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D10.30? +

Procedures frequently paired with D10.30 include: 17004.

What ICD-9 codes does D10.30 map to? +

Per CMS GEMs, D10.30 maps to ICD-9 codes: 2104. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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