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D01.7 ICD-10-CM Code: Carcinoma in situ of other specified digestive organs

D01.7 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools

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Code lookupD01.7

FY 2026 Apr update / Neoplasms (C00-D49) / In situ neoplasms (D00-D09)

D01.7

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Carcinoma in situ of other specified digestive organs

Abnormal cells found in other digestive organs (such as stomach, pancreas, or esophagus) that have the potential to become cancer.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official
  • Carcinoma in situ of pancreas

Excludes 2

Official

No Excludes 2 notes are included in this display for D01.7. Check the code and parent instructions in the Code Book.

Includes

Official
  • Bowen's diseaseInherited from D00-D09
  • erythroplasiaInherited from D00-D09
  • grade III intraepithelial neoplasiaInherited from D00-D09
  • Queyrat's erythroplasiaInherited from D00-D09

Excludes 1

Official
  • melanoma in situ (D03.-)Inherited from D01

Code First

Official

No Code First sequencing instructions are included in this display for D01.7. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for D01.7. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for D01.7. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Use for carcinoma in situ of digestive organs not specifically listed in D01.0-D01.5
Always document which specific digestive organ is affected for complete clinical documentation

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is D01.7 an HCC code?

No. D01.7 is a billable ICD-10-CM code with no mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models.

Code
D01.7
Description
Carcinoma in situ of other specified digestive organs
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
Yes
Payment year
2026

Coder workflow notes

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This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

D01.7 is the ICD-10-CM diagnosis code for carcinoma in situ of other specified digestive organs. Abnormal cells found in other digestive organs (such as stomach, pancreas, or esophagus) that have the potential to become cancer. D01.7 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering in situ neoplasms (d00-d09).

D01.7 is a billable ICD-10-CM code, but the current payload does not show a mapping under the CMS-HCC V28 or V24 community payment models, and none under the ESRD, Part D RxHCC, or HHS-HCC models. Do not assign risk adjustment value from this page when no source-backed mapping is shown; verify the applicable model and payment year.

Use for carcinoma in situ of digestive organs not specifically listed in D01.0-D01.5.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D01.7 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use for carcinoma in situ of digestive organs not specifically listed in D01.0-D01.5
  • Always document which specific digestive organ is affected for complete clinical documentation

Child Codes

Code Hierarchy

Work D01.7 in HCC Buddy

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