ICD-10 Diagnosis Code D04.6

Carcinoma in situ of skin of upper limb, including shoulder

Diagnosis Code D04.6

ICD-10: D04.6
Short Description: Carcinoma in situ of skin of upper limb, including shoulder
Long Description: Carcinoma in situ of skin of upper limb, including shoulder
This is the 2019 version of the ICD-10-CM diagnosis code D04.6

Not Valid for Submission
The code D04.6 is a "header" and not valid for submission for HIPAA-covered transactions.

Code Classification

Version 2019 Non-Billable Code Neoplasm CaInSitu

Table of Neoplasms

The code D04.6 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.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»antecubital fossa or space
C76.4C79.89D04.6D36.7D48.7D49.89
»arm NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»elbow NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»extremity
  »upper
C76.4C79.89D04.6D36.7D48.7D49.89
»finger NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»forearm NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»hand NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»limb
  »upper
C76.4C79.89D04.6D36.7D48.7D49.89
»nail [See Also: Neoplasm, skin, limb]
  »finger [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»shoulder NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»skin NOS
  »antecubital space [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »arm [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »elbow [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »finger [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »forearm [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »hand [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »limb NEC
    »upper
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »palm [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »shoulder [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »thumb [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»skin NOS
  »wrist [See Also: Neoplasm, skin, limb, upper]
C44.60C79.2D04.6D23.6D48.5D49.2
»thumb NEC
C76.4C79.89D04.6D36.7D48.7D49.89
»wrist NEC
C76.4C79.89D04.6D36.7D48.7D49.89

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

  • Basal cell carcinoma (Medical Encyclopedia)
  • Mohs micrographic surgery (Medical Encyclopedia)
  • Skin lesion biopsy (Medical Encyclopedia)
  • Skin self-exam (Medical Encyclopedia)
  • Squamous cell skin cancer (Medical Encyclopedia)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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