D01.5

D01.5: Carcinoma in situ of liver, gallbladder and bile ducts

Billable / specific codeICD-10-CM

D01.5 is a billable, specific ICD-10-CM code for carcinoma in situ of liver, gallbladder and bile ducts. It is valid for submission on a claim.

Check D01.5 with the rest of the claim: free scrubber

Inclusion terms

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

Carcinoma in situ of ampulla of Vater

Excludes1 inherited from the categories above D01.5

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 D01.5

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

D01.4Carcinoma in situ of other and unspecified parts of intestine

Risk adjustment

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

Medicare coverage

D01.5 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A52986Billing and Coding: Biomarkers for Oncology
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A56421Billing and Coding: CT of the Abdomen and Pelvis

Code history

Unchanged in every release from FY2024 to FY2027.