Non-Billable / Non-Specific Code
ICD-10-CM D21.1 is the diagnosis code for Benign neoplasm of connective and other soft tissue of upper limb, including shoulder. This code falls under the section "Benign neoplasms, except benign neuroendocrine tumors" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.
Understanding where D21.1 sits in the ICD-10-CM classification helps ensure proper coding:
No, D21.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
D21.1 is the ICD-10-CM diagnosis code for "Benign neoplasm of connective and other soft tissue of upper limb, including shoulder". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of D21.1 is D21 ("Other benign neoplasms of connective and other soft tissue"). D21.1 provides a more specific classification within this category.
D21.1 is located in Section D10-D36 — "Benign neoplasms, except benign neuroendocrine tumors" within Chapter 2 of the ICD-10-CM Tabular List.
D21.1 has 3 sub-code(s) that provide more specific detail: D21.10, D21.11, D21.12.
Use D21.1 when the patients documented diagnosis matches "Benign neoplasm of connective and other soft tissue of upper limb, including shoulder" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Benign neoplasm of connective and other soft tissue of upper limb, including shoulder is D21.1.
No, D21.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.
D21.1 is in Chapter 2 of the ICD-10-CM Tabular List.
Yes, D21.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.