D04.111

D04.111: Carcinoma in situ of skin of right upper eyelid, including canthus

Billable / specific codeICD-10-CMright

D04.111 is a billable, specific ICD-10-CM code for carcinoma in situ of skin of right upper eyelid, including canthus. It is valid for submission on a claim.

Check D04.111 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above D04.111

A category’s note binds every code beneath it.

Written on D04: Carcinoma in situ of skin

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

Risk adjustment

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

Medicare coverage

D04.111 is named in 42 Medicare coverage policies: 42 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A53883Billing and Coding: Mohs Micrographic Surgery (MMS)
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
A56346Billing and Coding: Removal of Benign and Malignant Skin Lesions

Code history

Unchanged in every release from FY2024 to FY2027.

Other codes under D04.11

D04.112Carcinoma in situ of skin of right lower eyelid, including canthus