D07.4 — Carcinoma in situ of penis
D07.4 is a billable, specific ICD-10-CM code for carcinoma in situ of penis. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Erythroplasia of Queyrat NOS
Other codes that can never be billed with D07.4
These codes carry an Excludes1 note pointing at D07.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D07.4 alone.
Risk adjustment
D07.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D07.4 is named in 33 Medicare coverage policies — 33 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- 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
How D07.4 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to D07.4.
- Erythroplasia(Queyrat)
- Queyrat's erythroplasia
- Erythroplasia›unspecified site
- Queyrat's erythroplasia›penis
- Queyrat's erythroplasia›unspecified site
Related codes at this level
Codes that share D07. If D07.4 is not quite right, the correct code is usually one of these.
Questions about D07.4
- Is D07.4 a billable ICD-10-CM code?
- Yes. D07.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D07.4 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).