2026 ICD-10-CM Diagnosis Code D04.0Carcinoma in situ of skin of lip

ICD-10-CM CodesC00–D49D00-D09D04

ICD-10-CM D04.0
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

D04.0 is a billable ICD-10-CM diagnosis code for carcinoma in situ of skin of lip. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 606 through 607. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Skin cancers - all other types.

Code Identity

ICD-10-CM Code
D04.0
Billable Status
Yes — Valid for Submission
Code Describes
Carcinoma in situ of skin of lip
Short Description
Carcinoma in situ of skin of lip
Same as the full description in the CMS dataset.
Parent Code
Carcinoma in situ of skin

Code Classification

ChapterC00–D49Neoplasms
SectionD00-D09In situ neoplasms
CategoryD04Carcinoma in situ of skin
This CodeD04.0Carcinoma in situ of skin of lip

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Carcinoma in situ of skin of lip
  • Squamous cell carcinoma in situ of skin of face
  • Squamous cell carcinoma in situ of skin of lip

Tabular List NotesGuidance

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

Type 2 Excludes

  • carcinoma in situ of vermilion border of lip D00.01

Clinical ClassificationClinical

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

CCSR NEO028
Skin cancers - all other types
Default principal diagnosis: inpatient Yes · outpatient Yes

Table of NeoplasmsClinical

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

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
lip skin (commissure) (lower) (upper)C44.00C79.2D04.0D23.0D48.5D49.2
skin NOS lip (lower) (upper)C44.00C79.2D04.0D23.0D48.5D49.2

Patient EducationClinical

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.

Read the full article at MedlinePlus

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

Convert D04.0 to ICD-9-CMHistory

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

ICD-9-CM
232.0 Ca in situ skin lip
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 D04.0Overview

Is D04.0 (Carcinoma in situ of skin) a billable code?

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

What MS-DRG does D04.0 group to?

When carcinoma in situ of skin of lip is the principal diagnosis on an inpatient stay, it groups to MS-DRG 606, 607, with relative weights from 0.9064 to 1.5132 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of D04.0?

Under the General Equivalence Mappings, carcinoma in situ of skin of lip converts to ICD-9-CM 232.0 (ca in situ skin lip). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.