D00.0

D00.0: Carcinoma in situ of lip, oral cavity and pharynx

Non-billable headerICD-10-CM

D00.0 is a non-billable header ICD-10-CM code for carcinoma in situ of lip, oral cavity and pharynx. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

carcinoma in situ of aryepiglottic fold or interarytenoid fold, laryngeal aspect (D02.0)
carcinoma in situ of epiglottis NOS (D02.0)
carcinoma in situ of epiglottis suprahyoid portion (D02.0)
carcinoma in situ of skin of lip (D03.0, D04.0)

Use additional code

Add a secondary code to capture the detail described below.

code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
history of tobacco dependence (Z87.891)
occupational exposure to environmental tobacco smoke (Z57.31)
tobacco dependence (F17.-)
tobacco use (Z72.0)

Excludes1 inherited from the categories above D00.0

A category’s note binds every code beneath it.

Written on D00: Carcinoma in situ of oral cavity, esophagus and stomach

melanoma in situ (D03.-)

Other codes that can never be billed with D00.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

D02.0Carcinoma in situ of larynx
K13.2Leukoplakia and other disturbances of oral epithelium, including tongue

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D00.0

9 child codes. Green means billable.