D07.4

D07.4: Carcinoma in situ of penis

Billable / specific codeICD-10-CM

D07.4 is a billable, specific ICD-10-CM code for carcinoma in situ of penis. It is valid for submission on a claim.

Check D07.4 with the rest of the claim: free scrubber

Inclusion terms

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

Erythroplasia of Queyrat NOS

Excludes1 inherited from the categories above D07.4

A category’s note binds every code beneath it.

Written on D07: Carcinoma in situ of other and unspecified genital organs

melanoma in situ of trunk (D03.5)

Other codes that can never be billed with D07.4

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

N48.0Leukoplakia of penis
D04Carcinoma in situ of skin
D04.5Carcinoma in situ of skin of trunk

Risk adjustment

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

Medicare coverage

D07.4 is named in 32 Medicare coverage policies: 32 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

Alphabetic index entries that lead here

Erythroplasia(Queyrat)
Queyrat's erythroplasia
Erythroplasia›unspecified site
Queyrat's erythroplasia›penis
Queyrat's erythroplasia›unspecified site

Code history

Unchanged in every release from FY2024 to FY2027.