2026 ICD-10-CM Diagnosis Code D03.4Melanoma in situ of scalp and neck
ICD-10-CM Codes›C00–D49›D00-D09›D03
- Billable — Valid for Submission
- Chronic Condition
D03.4 is a billable ICD-10-CM diagnosis code for melanoma in situ of scalp and neck. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 595 through 596. Coders also document this condition as melanoma in situ of neck. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Skin cancers - melanoma.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Melanoma in situ of neck
- Melanoma in situ of scalp
- Melanoma in situ of skin structure of scalp and/or neck
Index to Diseases and InjuriesGuidance
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Melanoma(malignant)
- in situ
- neck
- Melanoma(malignant)
- in situ
- scalp
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Melanoma
Melanoma is the most serious type of skin cancer. Often the first sign of melanoma is a change in the size, shape, color, or feel of a mole. Most melanomas have a black or black-blue area. Melanoma may also appear as a new mole. It may be black, abnormal, or "ugly looking."
Read the full article at MedlinePlus
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Convert D03.4 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About D03.4Overview
Is D03.4 (Melanoma in situ) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report melanoma in situ of scalp and neck on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does D03.4 group to?
When melanoma in situ of scalp and neck is the principal diagnosis on an inpatient stay, it groups to MS-DRG 595, 596, with relative weights from 1.0825 to 2.1207 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of D03.4?
Under the General Equivalence Mappings, melanoma in situ of scalp and neck converts to ICD-9-CM 172.4 (mal melanoma scalp/neck). 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.
