D01.2 — Carcinoma in situ of rectum
D01.2 is a billable, specific ICD-10-CM code for carcinoma in situ of rectum. It is valid for submission on a claim.
Excludes1 inherited from the categories above D01.2
These are not written on D01.2, but they bind it: a note on a category applies to every code beneath it. Billing D01.2 with anything listed here is a denial.
Risk adjustment
D01.2 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
D01.2 is named in 23 Medicare coverage policies — 23 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
- A55937Billing and Coding: Diagnostic Colonoscopy
- A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
Code history
D01.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D01. If D01.2 is not quite right, the correct code is usually one of these.
- D01.0Carcinoma in situ of colon
- D01.1Carcinoma in situ of rectosigmoid junction
- D01.3Carcinoma in situ of anus and anal canal
- D01.4Carcinoma in situ of other and unspecified parts of intestine
- D01.5Carcinoma in situ of liver, gallbladder and bile ducts
- D01.7Carcinoma in situ of other specified digestive organs
- D01.9Carcinoma in situ of digestive organ, unspecified
Questions about D01.2
- Is D01.2 a billable ICD-10-CM code?
- Yes. D01.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D01.2 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).
- What cannot be coded together with D01.2?
- D01.2 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above D01.2 (D01) and apply to it just the same.