D00.00
D00.00 — Carcinoma in situ of oral cavity, unspecified site
Billable / specific codeICD-10-CM
D00.00 is a billable, specific ICD-10-CM code for carcinoma in situ of oral cavity, unspecified site. It is valid for submission on a claim.
Risk adjustment
D00.00 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D00.00 is named in 12 Medicare coverage policies — 12 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56695Billing and Coding: Implantable Infusion Pump
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
Related codes at this level
Codes that share D00.0. If D00.00 is not quite right, the correct code is usually one of these.
- D00.01Carcinoma in situ of labial mucosa and vermilion border
- D00.02Carcinoma in situ of buccal mucosa
- D00.03Carcinoma in situ of gingiva and edentulous alveolar ridge
- D00.04Carcinoma in situ of soft palate
- D00.05Carcinoma in situ of hard palate
- D00.06Carcinoma in situ of floor of mouth
- D00.07Carcinoma in situ of tongue
- D00.08Carcinoma in situ of pharynx
Questions about D00.00
- Is D00.00 a billable ICD-10-CM code?
- Yes. D00.00 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D00.00 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).