D07.69
D07.69: Carcinoma in situ of other male genital organs
Billable / specific codeICD-10-CM
D07.69 is a billable, specific ICD-10-CM code for carcinoma in situ of other male genital organs. It is valid for submission on a claim.
Check D07.69 with the rest of the claim: free scrubberOther codes that can never be billed with D07.69
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
D07.69 is named in 15 Medicare coverage policies: 15 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Code history
Unchanged in every release from FY2024 to FY2027.