Is D09.1 a billable ICD-10-CM code?

No. D09.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does D09.1 sit in the tabular list?

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

D09.1

D09.1 — Carcinoma in situ of other and unspecified urinary organs

Non-billable headerICD-10-CM

D09.1 is a non-billable header ICD-10-CM code for carcinoma in situ of other and unspecified urinary organs. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

D09.1 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.

Code to one of these instead D09.1

2 child codes. Green means billable.

D09.10Carcinoma in situ of unspecified urinary organ
D09.19Carcinoma in situ of other urinary organs

Related codes at this level

Codes that share D09. If D09.1 is not quite right, the correct code is usually one of these.

D09.0Carcinoma in situ of bladder
D09.2Carcinoma in situ of eye
D09.3Carcinoma in situ of thyroid and other endocrine glands
D09.8Carcinoma in situ of other specified sites
D09.9Carcinoma in situ, unspecified

Questions about D09.1

Is D09.1 a billable ICD-10-CM code?: No. D09.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does D09.1 sit in the tabular list?: Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).