D01.9
D01.9 — Carcinoma in situ of digestive organ, unspecified
Billable / specific codeICD-10-CM
D01.9 is a billable, specific ICD-10-CM code for carcinoma in situ of digestive organ, unspecified. It is valid for submission on a claim.
Risk adjustment
D01.9 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
D01.9 is named in 12 Medicare coverage policies — 12 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 D01.9 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
- D01.5Carcinoma in situ of liver, gallbladder and bile ducts
- D01.7Carcinoma in situ of other specified digestive organs
Questions about D01.9
- Is D01.9 a billable ICD-10-CM code?
- Yes. D01.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D01.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).