Is ICD-10-CM code D07 billable?

No, D07 (Carcinoma in situ of other and unspecified genital organs) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code D07 belong to?

D07 belongs to Chapter 2 of the ICD-10-CM tabular list: C00–D49 (Neoplasms).

D07Not billable, use a more specific code below

Carcinoma in situ of other and unspecified genital organs

In In situ neoplasms (D00-D09), chapter 2: Neoplasms

10 billable codes under D07: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

melanoma in situ of trunk (D03.5)

Also applies, from In situ neoplasms (D00-D09)

These notes sit on D00-D09 and apply to every code under it, including D07.

Includes: conditions that are coded here

Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.

Admission/Encounter for treatment of primary site (page 33)
Admission/Encounter for treatment of secondary site (page 33)
Coding and sequencing of complications (page 34)
Primary malignancy previously excised (page 34)
Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
Admission/encounter to determine extent of malignancy (page 36)
Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
Admission/encounter for pain control/management (page 36)

Read Section I.C.2 (page 32), 12 more topics

All codes under D07

D07 can't be used on a claim. Pick a billable code below; grey headings group them.

D07 MS-DRGs

As the principal diagnosis, the billable codes under D07 group to these 11 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 715 Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC (5 of 10 codes)
DRG 716 Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC (5 of 10 codes)
DRG 722 Malignancy, Male Reproductive System with MCC (5 of 10 codes)
DRG 723 Malignancy, Male Reproductive System with CC (5 of 10 codes)
DRG 724 Malignancy, Male Reproductive System without CC/MCC (5 of 10 codes)
DRG 731 Uterine and Adnexa Procedures for Malignancy with MCC (5 of 10 codes)
DRG 732 Uterine and Adnexa Procedures for Malignancy with CC (5 of 10 codes)
DRG 733 Uterine and Adnexa Procedures for Malignancy without CC/MCC (5 of 10 codes)
DRG 754 Malignancy, Female Reproductive System with MCC (5 of 10 codes)
DRG 755 Malignancy, Female Reproductive System with CC (5 of 10 codes)
DRG 756 Malignancy, Female Reproductive System without CC/MCC (5 of 10 codes)

Other codes that refer to D07

Notes on these codes point to D07.

D04.5 Excludes1: carcinoma in situ of skin of genital organs (D07.-)
Z86.002 Includes: Conditions classifiable to D07

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Cancer

Cancer is not just one disease but many diseases. Cancer begins in your cells, which are the building blocks of your body. Usually, your body forms new cells as needed, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.