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

ICD-10 D10.5

Billable / Specific

Benign neoplasm of other parts of oropharynx

D10
Block
4
Synonyms
231
LCDs
8
Payer Policies
0
Linked CPTs

About ICD-10-CM D10.5

ICD-10-CM code D10.5 represents Benign neoplasm of other parts of oropharynx. This is a billable/specific code in the Neoplasms chapter (block D10). The 2026 edition of ICD-10-CM D10.5 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D10.5. Per CMS ICD-10-CM Tabular 2026.

  • Benign neoplasm of epiglottis, anterior aspect
  • Benign neoplasm of tonsillar fossa
  • Benign neoplasm of tonsillar pillars
  • Benign neoplasm of vallecula

Type 1 Excludes

Pure excludes, these codes can never be coded together with D10.5. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • benign neoplasm of epiglottis NOS (D14.1)
  • benign neoplasm of epiglottis, suprahyoid portion (D14.1)

Medicare LCD Coverage for D10.5

Local Coverage Determinations (LCDs) from CMS MACs that list D10.5 as a covered diagnosis.

231 LCDs

Showing top 10 of 231 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 D10.5.

8 policies

5 Medicare

Billing and Coding: Flow Cytometry
Policy ID: ART-56464
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Cosmetic and Reconstructive Surgery
Policy ID: ART-56658
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

CPT Codes Commonly Billed with D10.5

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

No procedure linkages on file for D10.5

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert D10.5 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D10.5 2106 00000

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

ICD-10 D10.5, Billing FAQ

Is ICD-10 code D10.5 billable? +

Yes, D10.5 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to D10.5? +

ICD-10 D10.5 includes: Benign neoplasm of epiglottis, anterior aspect; Benign neoplasm of tonsillar fossa; Benign neoplasm of tonsillar pillars, and 1 more clinical synonyms.

What codes are Type 1 Excludes for D10.5? +

Type 1 Excludes (never code together with D10.5): benign neoplasm of epiglottis NOS (D14.1); benign neoplasm of epiglottis, suprahyoid portion (D14.1)

What ICD-9 codes does D10.5 map to? +

Per CMS GEMs, D10.5 maps to ICD-9 codes: 2106. 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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