D01.9 ICD-10-CM Code: Carcinoma in situ of digestive organ, unspecified
D01.9 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software
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FY 2026 Apr update / Neoplasms (C00-D49) / In situ neoplasms (D00-D09)
D01.9
Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidanceCarcinoma in situ of digestive organ, unspecified
Abnormal cells found in a digestive organ that have the potential to become cancer, but the specific organ location is not documented.
CMS-HCC V28
N/A—
Not mapped
CMS-HCC V24
HistoricalHistorical
Not used for CY2026 payment
ACA/HHS
N/A—
Not mapped
ESRD/PACE
N/A—
Not mapped
RXHCC
N/A—
Not mapped
Code Book Path
Inclusion Terms
OfficialNo inclusion terms are included in this display for D01.9. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for D01.9. Check the code and parent instructions in the Code Book.
Related Codes
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
OfficialNo Code First sequencing instructions are included in this display for D01.9. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for D01.9. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for D01.9. Check the code and parent instructions in the Code Book.
Buddy Documentation Tip
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 D01.9 an HCC code?
No. D01.9 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
- D01.9
- Description
- Carcinoma in situ of digestive organ, unspecified
- 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
D01.9 is the ICD-10-CM diagnosis code for carcinoma in situ of digestive organ, unspecified. Abnormal cells found in a digestive organ that have the potential to become cancer, but the specific organ location is not documented. D01.9 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering in situ neoplasms (d00-d09).
D01.9 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.
This is a non-specific code; use only when the exact digestive organ cannot be determined from documentation.
HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D01.9 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Coding Tips
- •This is a non-specific code; use only when the exact digestive organ cannot be determined from documentation
- •Query the provider to obtain more specific anatomical location to allow for more precise coding