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D06.1 ICD-10-CM Code: Carcinoma in situ of exocervix

D06.1 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)

D06.1

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

Carcinoma in situ of exocervix

Abnormal cells found on the outer surface of the cervix that have not yet become invasive 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

Code Book Path

Official
D06Carcinoma in situ of cervix uteri
D06.1Carcinoma in situ of exocervix

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for D06.1 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D06.1 in this effective period.

Related Child Codes

Official
D06.0Carcinoma in situ of endocervix
D06.7Carcinoma in situ of other parts of cervix
D06.9Carcinoma in situ of cervix, unspecified

Includes

Official
  • cervical adenocarcinoma in situ
  • cervical intraepithelial glandular neoplasia
  • cervical intraepithelial neoplasia III [CIN III]
  • severe dysplasia of cervix uteri

Excludes 1

Official
  • cervical intraepithelial neoplasia II [CIN II] (N87.1)
  • cytologic evidence of malignancy of cervix without histologic confirmation (R87.614)
  • high grade squamous intraepithelial lesion (HGSIL) of cervix (R87.613)
  • melanoma in situ of cervix (D03.5)
  • moderate cervical dysplasia (N87.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D06.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D06.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D06.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Exocervix is the visible outer portion of the cervix; distinguish from endocervix (D06.0)
May be identified during routine gynecological examination or Pap smear

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 D06.1 an HCC code?

No. D06.1 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
D06.1
Description
Carcinoma in situ of exocervix
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

D06.1 is the ICD-10-CM diagnosis code for carcinoma in situ of exocervix. Abnormal cells found on the outer surface of the cervix that have not yet become invasive cancer. D06.1 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering in situ neoplasms (d00-d09).

D06.1 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.

Exocervix is the visible outer portion of the cervix; distinguish from endocervix (D06.0).

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for D06.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Exocervix is the visible outer portion of the cervix; distinguish from endocervix (D06.0)
  • May be identified during routine gynecological examination or Pap smear

Child Codes

Code Hierarchy

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