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

ICD-10 D16.6

Billable / Specific

Benign neoplasm of vertebral column

D16
Block
0
Synonyms
114
LCDs
10
Payer Policies
0
Linked CPTs

About ICD-10-CM D16.6

ICD-10-CM code D16.6 represents Benign neoplasm of vertebral column. This is a billable/specific code in the Neoplasms chapter (block D16). The 2026 edition of ICD-10-CM D16.6 became effective on October 1, 2025.

Type 1 Excludes

Pure excludes, these codes can never be coded together with D16.6. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • benign neoplasm of sacrum and coccyx (D16.8)

Medicare LCD Coverage for D16.6

Local Coverage Determinations (LCDs) from CMS MACs that list D16.6 as a covered diagnosis.

114 LCDs

Showing top 10 of 114 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22513 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22514 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22512 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22510 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22511 →
CMS LCD: Billing and Coding: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF)
Article ID: 57630, Effective: 2024-08-01 00:00:00, 91 covered, 0 non-covered
CPT 22515 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT Q9953 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72148 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT A9585 →
CMS LCD: Billing and Coding: Lumbar MRI
Article ID: 57206, Effective: 2025-10-23 00:00:00, 3361 covered, 0 non-covered
CPT 72158 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D16.6.

10 policies

5 Medicare

Billing and Coding: Proton Beam Therapy
Policy ID: ART-55315
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: MRI and CT Scans of the Head and Neck
Policy ID: ART-57204
Billing and Coding: Lumbar MRI
Policy ID: ART-57206

2 Aetna

Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) of the Spine
Policy ID: CPB-0236
Spinal Surgery: Laminectomy and Fusion
Policy ID: CPB-0743

CPT Codes Commonly Billed with D16.6

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

No procedure linkages on file for D16.6

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 D16.6 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D16.6 2132 00000

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

ICD-10 D16.6, Billing FAQ

Is ICD-10 code D16.6 billable? +

Yes, D16.6 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for D16.6? +

Type 1 Excludes (never code together with D16.6): benign neoplasm of sacrum and coccyx (D16.8)

What ICD-9 codes does D16.6 map to? +

Per CMS GEMs, D16.6 maps to ICD-9 codes: 2132. 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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