D01.3

D01.3: Carcinoma in situ of anus and anal canal

Billable / specific codeICD-10-CM

D01.3 is a billable, specific ICD-10-CM code for carcinoma in situ of anus and anal canal. It is valid for submission on a claim.

Check D01.3 with the rest of the claim: free scrubber

Excludes1: never code together

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

anal intraepithelial neoplasia I and II [AIN I and AIN II] (K62.82)
carcinoma in situ of anal margin (D04.5)
carcinoma in situ of anal skin (D04.5)
carcinoma in situ of perianal skin (D04.5)

Inclusion terms

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

Anal intraepithelial neoplasia III [AIN III]
Severe dysplasia of anus

Excludes1 inherited from the categories above D01.3

A category’s note binds every code beneath it.

Written on D01: Carcinoma in situ of other and unspecified digestive organs

melanoma in situ (D03.-)

Other codes that can never be billed with D01.3

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

K62.82Dysplasia of anus
R85.61Abnormal cytologic smear of anus
D04.5Carcinoma in situ of skin of trunk

Risk adjustment

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

Medicare coverage

D01.3 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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