D03.0
D03.0: Melanoma in situ of lip
Billable / specific codeICD-10-CM
D03.0 is a billable, specific ICD-10-CM code for melanoma in situ of lip. It is valid for submission on a claim.
Check D03.0 with the rest of the claim: free scrubberOther codes that can never be billed with D03.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- D00Carcinoma in situ of oral cavity, esophagus and stomach
- D00.0Carcinoma in situ of lip, oral cavity and pharynx
- D01Carcinoma in situ of other and unspecified digestive organs
- D02Carcinoma in situ of middle ear and respiratory system
- D04Carcinoma in situ of skin
- C43Malignant melanoma of skin
- D09Carcinoma in situ of other and unspecified sites
Risk adjustment
D03.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
D03.0 is named in 37 Medicare coverage policies: 37 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
Alphabetic index entries that lead here
- Melanoma›in situ›lip(lower) (upper)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under D03
- D03.1Melanoma in situ of eyelid, including canthus
- D03.2Melanoma in situ of ear and external auricular canal
- D03.3Melanoma in situ of other and unspecified parts of face
- D03.4Melanoma in situ of scalp and neck
- D03.5Melanoma in situ of trunk
- D03.6Melanoma in situ of upper limb, including shoulder
- D03.7Melanoma in situ of lower limb, including hip
- D03.8Melanoma in situ of other sites
- D03.9Melanoma in situ, unspecified