D01.5 — Carcinoma in situ of liver, gallbladder and bile ducts
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.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Carcinoma in situ of ampulla of Vater
Other codes that can never be billed with D01.5
These codes carry an Excludes1 note pointing at D01.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D01.5 alone.
- D01.4Carcinoma in situ of other and unspecified parts of intestine
Risk adjustment
D01.5 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
D01.5 is named in 17 Medicare coverage policies — 17 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
- 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
Related codes at this level
Codes that share D01. If D01.5 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
- D01.2Carcinoma in situ of rectum
- D01.3Carcinoma in situ of anus and anal canal
- D01.4Carcinoma in situ of other and unspecified parts of intestine
- D01.7Carcinoma in situ of other specified digestive organs
- D01.9Carcinoma in situ of digestive organ, unspecified
Questions about D01.5
- Is D01.5 a billable ICD-10-CM code?
- Yes. D01.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D01.5 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).