ICD-10 D16.4
Billable / SpecificBenign neoplasm of bones of skull and face
About ICD-10-CM D16.4
ICD-10-CM code D16.4 represents Benign neoplasm of bones of skull and face. This is a billable/specific code in the Neoplasms chapter (block D16). The 2026 edition of ICD-10-CM D16.4 became effective on October 1, 2025.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under D16.4. Per CMS ICD-10-CM Tabular 2026.
- Benign neoplasm of maxilla (superior)
- Benign neoplasm of orbital bone
- Keratocyst of maxilla
- Keratocystic odontogenic tumor of maxilla
Type 2 Excludes
Not included here, the excluded code is not part of D16.4, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- benign neoplasm of lower jaw bone (D16.5)
Medicare LCD Coverage for D16.4
Local Coverage Determinations (LCDs) from CMS MACs that list D16.4 as a covered diagnosis.
Showing top 10 of 506 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing D16.4.
1 Aetna
1 Cigna
5 Medicare
CPT Codes Commonly Billed with D16.4
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
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 D16.4 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| D16.4 | 2130 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To D16.4
Other codes in section D10-D36 (Benign neoplasms, except benign neuroendocrine tumors).
ICD-10 D16.4, Billing FAQ
Is ICD-10 code D16.4 billable? +
Yes, D16.4 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 D16.4? +
ICD-10 D16.4 includes: Benign neoplasm of maxilla (superior); Benign neoplasm of orbital bone; Keratocyst of maxilla, and 1 more clinical synonyms.
What codes are Type 2 Excludes for D16.4? +
Type 2 Excludes (may be coded together when both conditions exist): benign neoplasm of lower jaw bone (D16.5)
What ICD-9 codes does D16.4 map to? +
Per CMS GEMs, D16.4 maps to ICD-9 codes: 2130. 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 July 17, 2026.
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