ICD-10-CM Code D04.5

Carcinoma in situ of skin of trunk

Version 2020 Billable Code Neoplasm CaInSitu

Valid for Submission

D04.5 is a billable code used to specify a medical diagnosis of carcinoma in situ of skin of trunk. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code D04.5 might also be used to specify conditions or terms like anal intraepithelial neoplasia , anal verge finding, bowen's disease of skin of buttock, bowen's disease of skin of chest, carcinoma in situ of anal canal, carcinoma in situ of anal margin, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: abdomen, abdominal wall [See Also: Neoplasm, abdomen, wall, skin] ; anus, anal margin [See Also: Neoplasm, anus, skin] ; anus, anal skin ; axilla, axillary fold [See Also: Neoplasm, skin, trunk] ; back NEC ; breast (connective tissue) (glandular tissue) (soft parts) skin ; buttock NEC ; etc

ICD-10:D04.5
Short Description:Carcinoma in situ of skin of trunk
Long Description:Carcinoma in situ of skin of trunk

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D04.5:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Carcinoma in situ of anal margin
  • Carcinoma in situ of anal skin
  • Carcinoma in situ of perianal skin
  • Carcinoma in situ of skin of breast

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • carcinoma in situ of anus NOS D01.3
  • carcinoma in situ of scrotum D07.61
  • carcinoma in situ of skin of genital organs D07

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Anal intraepithelial neoplasia
  • Anal verge finding
  • Bowen's disease of skin of buttock
  • Bowen's disease of skin of chest
  • Carcinoma in situ of anal canal
  • Carcinoma in situ of anal margin
  • Carcinoma in situ of anus
  • Carcinoma in situ of perianal skin
  • Carcinoma in situ of skin of abdomen
  • Carcinoma in situ of skin of axilla
  • Carcinoma in situ of skin of back
  • Carcinoma in situ of skin of breast
  • Carcinoma in situ of skin of buttock
  • Carcinoma in situ of skin of chest
  • Carcinoma in situ of skin of groin
  • Carcinoma in situ of skin of perineum
  • Carcinoma in situ of skin of trunk
  • Carcinoma in situ of skin of umbilicus
  • Intraepidermal squamous carcinoma of leg
  • Intraepidermal squamous carcinoma of trunk
  • Intraepithelial squamous cell carcinoma of anogenital region
  • Neoplasm of skin of axilla
  • Neoplasm of skin of buttock
  • Neoplasm of skin of groin
  • Neoplasm of skin of umbilicus

Diagnostic Related Groups

The ICD-10 code D04.5 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 606 - MINOR SKIN DISORDERS WITH MCC
  • 607 - MINOR SKIN DISORDERS WITHOUT MCC

Convert D04.5 to ICD-9

  • 232.5 - Ca in situ skin trunk (Approximate Flag)

Code Classification

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Table of Neoplasms

The code D04.5 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»abdomen, abdominal
  »wall [See Also: Neoplasm, abdomen, wall, skin]
C44.509C79.2D04.5D23.5D48.5D49.2
»anus, anal
  »margin [See Also: Neoplasm, anus, skin]
C44.500C79.2D04.5D23.5D48.5D49.2
»anus, anal
  »skin
C44.500C79.2D04.5D23.5D48.5D49.2
»axilla, axillary
  »fold [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»back NEC
C76.8C79.89D04.5D36.7D48.7D49.89
»breast (connective tissue) (glandular tissue) (soft parts)
  »skin
C44.501C79.2D04.5D23.5D48.5D49.2
»buttock NEC
C76.3C79.89D04.5D36.7D48.7D49.89
»flank NEC
C76.8C79.89D04.5D36.7D48.7D49.89
»gluteal region
C76.3C79.89D04.5D36.7D48.7D49.89
»groin NEC
C76.3C79.89D04.5D36.7D48.7D49.89
»infraclavicular (region)
C76.1C79.89D04.5D36.7D48.7D49.89
»inguinal (region)
C76.3C79.89D04.5D36.7D48.7D49.89
»nates [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»perianal (skin) [See Also: Neoplasm, anus, skin]
C44.500C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »abdominal wall
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »anus
C44.500C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »axilla, axillary fold [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »back [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »breast
C44.501C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »buttock [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »chest (wall) [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »clavicular area [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »flank [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »gluteal region [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »groin [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »infraclavicular region [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »inguinal region [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »nates [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »perianal [See Also: Neoplasm, skin, anus]
C44.500C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »perineum [See Also: Neoplasm, skin, anus]
C44.500C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »pubes [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »sacrococcygeal region [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »scapular region [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »submammary fold [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »thoracic wall [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »trunk
C44.509C79.2D04.5D23.5D48.5D49.2
»skin NOS
  »umbilicus [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2
»trunk NEC
C76.8C79.89D04.5D36.7D48.7D49.89
»umbilicus, umbilical [See Also: Neoplasm, skin, trunk]
C44.509C79.2D04.5D23.5D48.5D49.2

Information for Patients


Skin Cancer

Skin cancer is the most common form of cancer in the United States. The two most common types are basal cell cancer and squamous cell cancer. They usually form on the head, face, neck, hands, and arms. Another type of skin cancer, melanoma, is more dangerous but less common.

Anyone can get skin cancer, but it is more common in people who

  • Spend a lot of time in the sun or have been sunburned
  • Have light-colored skin, hair and eyes
  • Have a family member with skin cancer
  • Are over age 50

You should have your doctor check any suspicious skin markings and any changes in the way your skin looks. Treatment is more likely to work well when cancer is found early. If not treated, some types of skin cancer cells can spread to other tissues and organs. Treatments include surgery, radiation therapy, chemotherapy, photodynamic therapy (PDT), and biologic therapy. PDT uses a drug and a type of laser light to kill cancer cells. Biologic therapy boosts your body's own ability to fight cancer.

NIH: National Cancer Institute


[Learn More]