D00.01
D00.01 — Carcinoma in situ of labial mucosa and vermilion border
Billable / specific codeICD-10-CM
D00.01 is a billable, specific ICD-10-CM code for carcinoma in situ of labial mucosa and vermilion border. It is valid for submission on a claim.
Risk adjustment
D00.01 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
D00.01 is named in 22 Medicare coverage policies — 22 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
- A53883Billing and Coding: Mohs Micrographic Surgery (MMS)
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A56514Billing and Coding: Mohs Micrographic Surgery
Related codes at this level
Codes that share D00.0. If D00.01 is not quite right, the correct code is usually one of these.
- D00.00Carcinoma in situ of oral cavity, unspecified site
- 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 D00.01
- Is D00.01 a billable ICD-10-CM code?
- Yes. D00.01 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D00.01 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).