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D07.1 ICD-10-CM Code: Carcinoma in situ of vulva

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

D07.1

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

Carcinoma in situ of vulva

Abnormal cells found on the vulva (external female genitalia) that have not yet become invasive cancer.

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
D07Carcinoma in situ of other and unspecified genital organs
D07.1Carcinoma in situ of vulva

Inclusion Terms

Official
  • Severe dysplasia of vulva
  • Vulvar intraepithelial neoplasia III [VIN III]

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for D07.1 in this effective period.

Related Child Codes

Official
D07.0Carcinoma in situ of endometrium
D07.2Carcinoma in situ of vagina
D07.3Carcinoma in situ of other and unspecified female genital organs
D07.4Carcinoma in situ of penis
D07.5Carcinoma in situ of prostate

Includes

Official

ICD-10-CM does not list Includes notes for D07.1 in this effective period.

Excludes 1

Official
  • moderate dysplasia of vulva (N90.1)
  • vulvar intraepithelial neoplasia II [VIN II] (N90.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for D07.1 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for D07.1 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for D07.1 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Vulva refers to the external female genitalia; distinguish from vaginal carcinoma in situ (D07.2)
Often associated with vulvar intraepithelial neoplasia (VIN); document any visible lesions or symptoms

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is D07.1 an HCC code?

No. D07.1 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

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

D07.1 is the ICD-10-CM diagnosis code for carcinoma in situ of vulva. Abnormal cells found on the vulva (external female genitalia) that have not yet become invasive cancer. D07.1 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering in situ neoplasms (d00-d09).

D07.1 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Vulva refers to the external female genitalia; distinguish from vaginal carcinoma in situ (D07.2).

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for D07.1 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Vulva refers to the external female genitalia; distinguish from vaginal carcinoma in situ (D07.2)
  • Often associated with vulvar intraepithelial neoplasia (VIN); document any visible lesions or symptoms

Excludes 1, Do NOT code together

  • moderate dysplasia of vulva (N90.1)
  • vulvar intraepithelial neoplasia II [VIN II] (N90.1)

Child Codes

Code Hierarchy

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