D10.4
Billable

Benign neoplasm of tonsil

Billable / Specific Code

What is Benign neoplasm of tonsil?

ICD-10-CM D10.4 is the diagnosis code for Benign neoplasm of tonsil. This code falls under the section "Benign neoplasms, except benign neuroendocrine tumors" within Chapter 2 — Neoplasms (C00-D49). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for D10.4

✅ This Code Includes

  • Benign neoplasm of tonsil (faucial) (palatine)

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as D10.4. They are mutually exclusive:

  • benign neoplasm of lingual tonsil (D10.1)
  • benign neoplasm of pharyngeal tonsil (D10.6)
  • benign neoplasm of tonsillar fossa (D10.5)
  • benign neoplasm of tonsillar pillars (D10.5)

ICD-10-CM Code Hierarchy

Understanding where D10.4 sits in the ICD-10-CM classification helps ensure proper coding:

Related Codes

Frequently Asked Questions

Is D10.4 a billable ICD-10-CM code?

Yes, D10.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What does D10.4 mean?

D10.4 is the ICD-10-CM diagnosis code for "Benign neoplasm of tonsil". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of D10.4?

The parent code of D10.4 is D10 ("Benign neoplasm of mouth and pharynx"). D10.4 provides a more specific classification within this category.

What section is D10.4 in?

D10.4 is located in Section D10-D36 — "Benign neoplasms, except benign neuroendocrine tumors" within Chapter 2 of the ICD-10-CM Tabular List.

When should I use D10.4?

Use D10.4 when the patients documented diagnosis matches "Benign neoplasm of tonsil" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Benign neoplasm of tonsil?

The ICD-10-CM code for Benign neoplasm of tonsil is D10.4.

Can D10.4 be used for primary diagnosis?

Yes, D10.4 can be used as a primary diagnosis code since it is billable and specific.

What chapter is D10.4 in?

D10.4 is in Chapter 2 of the ICD-10-CM Tabular List.

What conditions are excluded from D10.4?

Type 1 Excludes for D10.4 include: benign neoplasm of lingual tonsil (D10.1); benign neoplasm of pharyngeal tonsil (D10.6); benign neoplasm of tonsillar fossa (D10.5) and more.

Is D10.4 valid for 2026?

Yes, D10.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD10.39Benign neoplasm of other parts of mouthNext →D10.5Benign neoplasm of other parts of oropharynx
Code Details
D10.4
Benign neoplasm of tonsil
Billable / Specific Code
2 — Neoplasms (C00-D49)
D10-D36 — Benign neoplasms, except benign neuroendocrine tumors
2026 ICD-10-CM