MCMCB Pro
D00.08

D00.08Carcinoma in situ of pharynx

Billable / specific codeICD-10-CM

D00.08 is a billable, specific ICD-10-CM code for carcinoma in situ of pharynx. It is valid for submission on a claim.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • Carcinoma in situ of aryepiglottic fold NOS
  • Carcinoma in situ of hypopharyngeal aspect of aryepiglottic fold
  • Carcinoma in situ of marginal zone of aryepiglottic fold

Other codes that can never be billed with D00.08

These codes carry an Excludes1 note pointing at D00.08. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D00.08 alone.

  • D02.0Carcinoma in situ of larynx

Risk adjustment

D00.08 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

D00.08 is named in 16 Medicare coverage policies 16 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
  • A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
  • A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
  • A56695Billing and Coding: Implantable Infusion Pump

Related codes at this level

Codes that share D00.0. If D00.08 is not quite right, the correct code is usually one of these.

Questions about D00.08

Is D00.08 a billable ICD-10-CM code?
Yes. D00.08 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D00.08 sit in the tabular list?
Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.