D04

D04: Carcinoma in situ of skin

Non-billable headerICD-10-CM

D04 is a non-billable header ICD-10-CM code for carcinoma in situ of skin. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

erythroplasia of Queyrat (penis) NOS (D07.4)
melanoma in situ (D03.-)

Other codes that can never be billed with D04

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

D00.0Carcinoma in situ of lip, oral cavity and pharynx
D01.3Carcinoma in situ of anus and anal canal
D02.3Carcinoma in situ of other parts of respiratory system
D05Carcinoma in situ of breast
D09.2Carcinoma in situ of eye

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead D04

10 child codes. Green means billable.

D04.0Carcinoma in situ of skin of lip
D04.1Carcinoma in situ of skin of eyelid, including canthus
D04.2Carcinoma in situ of skin of ear and external auricular canal
D04.3Carcinoma in situ of skin of other and unspecified parts of face
D04.4Carcinoma in situ of skin of scalp and neck
D04.5Carcinoma in situ of skin of trunk
D04.6Carcinoma in situ of skin of upper limb, including shoulder
D04.7Carcinoma in situ of skin of lower limb, including hip
D04.8Carcinoma in situ of skin of other sites
D04.9Carcinoma in situ of skin, unspecified