2026 ICD-10-CM Diagnosis Code D01.3Carcinoma in situ of anus and anal canal

ICD-10-CM CodesC00–D49D00-D09D01

ICD-10-CM D01.3
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

D01.3 is a billable ICD-10-CM diagnosis code for carcinoma in situ of anus and anal canal. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 374 through 376. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Gastrointestinal cancers - anus.

Code Identity

ICD-10-CM Code
D01.3
Billable Status
Yes — Valid for Submission
Code Describes
Carcinoma in situ of anus and anal canal
Short Description
Carcinoma in situ of anus and anal canal
Same as the full description in the CMS dataset.
Parent Code
Carcinoma in situ of other and unspecified digestive organs

Code Classification

ChapterC00–D49Neoplasms
SectionD00-D09In situ neoplasms
CategoryD01Carcinoma in situ of other and unspecified digestive organs
This CodeD01.3Carcinoma in situ of anus and anal canal

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Anal intraepithelial neoplasia
  • Bowenoid papulosis
  • Bowenoid papulosis of anus
  • Carcinoma in situ of anal canal
  • Carcinoma in situ of anus
  • Carcinoma in situ of perianal skin
  • Intraepithelial neoplasia due to human papillomavirus
  • Intraepithelial squamous cell carcinoma of anogenital region
  • Squamous cell carcinoma in situ of skin of perianal area

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Anal intraepithelial neoplasia III AIN III
  • Severe dysplasia of anus

Type 1 Excludes

  • anal intraepithelial neoplasia I and II AIN I and AIN II K62.82
  • carcinoma in situ of anal margin D04.5
  • carcinoma in situ of anal skin D04.5
  • carcinoma in situ of perianal skin D04.5

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Dysplasia
      • anus (histologically confirmed) (mild) (moderate)
        • severe
    • Neoplasia
      • intraepithelial (histologically confirmed)
        • anal (AIN) (histologically confirmed)
          • severe

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO016
Gastrointestinal cancers - anus
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Bowenoid Papulosis

    dysplastic papular lesions presenting on the genitalia of either sex. the lesions are associated with human papillomavirus infection. the majority of cases have a benign clinical course, although, a small number of cases with malignant transformation have been reported.
  • Penile Bowenoid Papulosis

    a cutaneous, usually multifocal lesion in the penis characterized by the presence of verrucous papules. it is caused by human papillomavirus infection. morphologically there is bowenoid dysplasia present. progression to invasive carcinoma is infrequent.

Table of NeoplasmsClinical

Anatomical sites in the Table of Neoplasms that reference this code family.

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
anorectum, anorectal (junction)C21.8C78.5D01.3D12.9D37.8D49.0
anus, analC21.0C78.5D01.3D12.9D37.8D49.0
anus, anal canalC21.1C78.5D01.3D12.9D37.8D49.0
anus, anal cloacogenic zoneC21.2C78.5D01.3D12.9D37.8D49.0
anus, anal sphincterC21.1C78.5D01.3D12.9D37.8D49.0
canalC21.1C78.5D01.3D12.9D37.8D49.0
canal analC21.1C78.5D01.3D12.9D37.8D49.0
cloacogenic zoneC21.2C78.5D01.3D12.9D37.8D49.0
crypt of MorgagniC21.8C78.5D01.3D12.9D37.8D49.0
hemorrhoidal zoneC21.1C78.5D01.3D12.9D37.8D49.0
junctionC21.8C78.5D01.3D12.9D37.8D49.0
junction anorectalC21.8C78.5D01.3D12.9D37.8D49.0
sphincterC21.1C78.5D01.3D12.9D37.8D49.0
sphincter analC21.1C78.5D01.3D12.9D37.8D49.0

Patient EducationClinical

Anal Cancer

Your anus is the opening at the end of your large intestine. It is where stool (poop) leaves your body. The anus is formed partly from your outer layers of skin and partly from your intestine. Anal cancer is a type of cancer that forms in the tissues of your anus.

The full article covers:

  • What is anal cancer?
  • Who is more likely to develop anal cancer?
  • What are the symptoms of anal cancer?
  • How is anal cancer diagnosed?
  • What are the treatments for anal cancer?
  • Can anal cancer be prevented?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert D01.3 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
230.5 Ca in situ anal canal
Approximate The match is approximate rather than exact.
ICD-9-CM
230.6 Ca in situ anus NOS
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About D01.3Overview

Is D01.3 (Carcinoma in situ of other and unspecified digestive organs) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report carcinoma in situ of anus and anal canal on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does D01.3 group to?

When carcinoma in situ of anus and anal canal is the principal diagnosis on an inpatient stay, it groups to MS-DRG 374, 375, 376, with relative weights from 0.9243 to 2.1387 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of D01.3?

Under the General Equivalence Mappings, carcinoma in situ of anus and anal canal converts to ICD-9-CM 230.5 (ca in situ anal canal) and 230.6 (ca in situ anus NOS). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.