Is D07.5 a billable ICD-10-CM code?

Yes. D07.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does D07.5 sit in the tabular list?

Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).

What cannot be coded together with D07.5?

D07.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

D07.5

D07.5 — Carcinoma in situ of prostate

Billable / specific codeICD-10-CM

D07.5 is a billable, specific ICD-10-CM code for carcinoma in situ of prostate. It is valid for submission on a claim.

Excludes1 — never code together

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

dysplasia (mild) (moderate) of prostate (N42.3-)
prostatic intraepithelial neoplasia II [PIN II] (N42.3-)

Inclusion terms

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

Prostatic intraepithelial neoplasia III (PIN III)
Severe dysplasia of prostate

Other codes that can never be billed with D07.5

These codes carry an Excludes1 note pointing at D07.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading D07.5 alone.

N42.31Prostatic intraepithelial neoplasia

Risk adjustment

D07.5 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

D07.5 is named in 24 Medicare coverage policies — 24 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs

How D07.5 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 D07.5.

Dysplasia›prostate›severe
Neoplasia›intraepithelial›prostate›grade III(severe dysplasia)

Related codes at this level

Codes that share D07. If D07.5 is not quite right, the correct code is usually one of these.

Questions about D07.5

Is D07.5 a billable ICD-10-CM code?: Yes. D07.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does D07.5 sit in the tabular list?: Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).
What cannot be coded together with D07.5?: D07.5 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.