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

ICD-10 D13.7

Billable / Specific

Benign neoplasm of endocrine pancreas

D13
Block
2
Synonyms
303
LCDs
16
Payer Policies
1
Linked CPTs

About ICD-10-CM D13.7

ICD-10-CM code D13.7 represents Benign neoplasm of endocrine pancreas. This is a billable/specific code in the Neoplasms chapter (block D13). The 2026 edition of ICD-10-CM D13.7 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under D13.7. Per CMS ICD-10-CM Tabular 2026.

  • Islet cell tumor
  • Benign neoplasm of islets of Langerhans

Use Additional Code

When coding D13.7, also report these additional codes when applicable.

  • code to identify any functional activity.

Medicare LCD Coverage for D13.7

Local Coverage Determinations (LCDs) from CMS MACs that list D13.7 as a covered diagnosis.

303 LCDs

Showing top 10 of 303 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot)
Article ID: 56531, Effective: 2024-10-01 00:00:00, 72 covered, 0 non-covered
CPT J2353 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D13.7.

16 policies

1 Cigna

Vitamin D Testing - (0526) ---- future effective policy
Policy ID: MM_0526

5 Medicare

Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot)
Policy ID: ART-56531
Billing and Coding: Computerized Axial Tomography (CT), Thorax
Policy ID: ART-56580
Billing and Coding: Implantable Infusion Pump
Policy ID: ART-56695

3 Aetna

Pancreaticoduodenectomy (Whipple Resection)
Policy ID: CPB-0365
Single Photon Emission Computed Tomography (SPECT)
Policy ID: CPB-0376
Somatostatin Analogs
Policy ID: CPB-0693

CPT Codes Commonly Billed with D13.7

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

1 linkages
  • J2353 CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot) CMS LCD

Convert D13.7 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D13.7 2117 00000

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

ICD-10 D13.7, Billing FAQ

Is ICD-10 code D13.7 billable? +

Yes, D13.7 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 D13.7? +

ICD-10 D13.7 includes: Islet cell tumor; Benign neoplasm of islets of Langerhans.

What CPT codes are commonly billed with D13.7? +

Procedures frequently paired with D13.7 include: J2353.

What ICD-9 codes does D13.7 map to? +

Per CMS GEMs, D13.7 maps to ICD-9 codes: 2117. 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 June 1, 2026.

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