D03.8

D03.8: Melanoma in situ of other sites

Billable / specific codeICD-10-CM

D03.8 is a billable, specific ICD-10-CM code for melanoma in situ of other sites. It is valid for submission on a claim.

Check D03.8 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.

carcinoma in situ of scrotum (D07.61)

Inclusion terms

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

Melanoma in situ of scrotum

Other codes that can never be billed with D03.8

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

D00Carcinoma in situ of oral cavity, esophagus and stomach
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

D03.8 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

D03.8 is named in 35 Medicare coverage policies: 35 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›choroid
Melanoma›in situ›conjunctiva
Melanoma›in situ›eye
Melanoma›in situ›female genital organ NEC(external)
Melanoma›in situ›foreskin
Melanoma›in situ›iris
Melanoma›in situ›labium(majus) (minus)
Melanoma›in situ›lacrimal gland
Melanoma›in situ›male genital organ NEC(external)
Melanoma›in situ›orbit
Melanoma›in situ›penis
Melanoma›in situ›prepuce

Code history

Unchanged in every release from FY2024 to FY2027.