2021 ICD-10-CM Code D04.6

Carcinoma in situ of skin of upper limb, including shoulder

Version 2021

Not Valid for Submission

D04.6 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of carcinoma in situ of skin of upper limb, including shoulder. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic antecubital fossa or space ; Neoplasm, neoplastic arm NEC ; Neoplasm, neoplastic elbow NEC ; Neoplasm, neoplastic extremity upper ; Neoplasm, neoplastic finger NEC ; Neoplasm, neoplastic forearm NEC ; Neoplasm, neoplastic hand NEC ; etc

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

Code Classification

Specific Coding for Carcinoma in situ of skin of upper limb, including shoulder

Non-specific codes like D04.6 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for carcinoma in situ of skin of upper limb, including shoulder:

  • BILLABLE CODE - Use D04.60 for Carcinoma in situ of skin of unspecified upper limb, including shoulder
  • BILLABLE CODE - Use D04.61 for Carcinoma in situ of skin of right upper limb, including shoulder
  • BILLABLE CODE - Use D04.62 for Carcinoma in situ of skin of left upper limb, including shoulder

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.

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

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 in MedlinePlus]

Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)