2026 ICD-10-CM Diagnosis Code D09.9Carcinoma in situ, unspecified

ICD-10-CM CodesC00–D49D00-D09D09

ICD-10-CM D09.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

D09.9 is a billable ICD-10-CM diagnosis code for carcinoma in situ, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 826 through 830, 843 through 845. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Malignant neoplasm, unspecified.

Code Identity

ICD-10-CM Code
D09.9
Billable Status
Yes — Valid for Submission
Code Describes
Carcinoma in situ, unspecified
Short Description
Carcinoma in situ, unspecified
Same as the full description in the CMS dataset.
Parent Code
Carcinoma in situ of other and unspecified sites

Code Classification

ChapterC00–D49Neoplasms
SectionD00-D09In situ neoplasms
CategoryD09Carcinoma in situ of other and unspecified sites
This CodeD09.9Carcinoma in situ, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Adenocarcinoma in situ in villous adenoma
  • Carcinoma in situ
  • Common bile duct surgical margin, involved by tumor
  • Intraepithelial squamous cell carcinoma
  • Squamous cell carcinoma in situ
  • Surgical bile duct margin involved by carcinoma in situ
  • Surgical bile duct margin uninvolved by carcinoma in situ
  • Surgical bronchial margin involved by squamous cell carcinoma in situ
  • Surgical bronchial margin involved by tumor
  • Surgical common bile duct margin involved by in situ carcinoma
  • Surgical common bile duct margin uninvolved by in situ carcinoma
  • Surgical cystic duct margin involved by in situ carcinoma
  • Surgical cystic duct margin uninvolved by in situ carcinoma
  • Surgical deep margin involved by in situ carcinoma
  • Surgical deep margin uninvolved by in situ carcinoma
  • Surgical distal margin involved by in situ carcinoma
  • Surgical distal margin involved by in situ carcinoma/adenoma
  • Surgical distal margin involved by tumor
  • Surgical distal margin uninvolved by in situ carcinoma
  • Surgical distal margin uninvolved by in situ carcinoma/adenoma
  • Surgical distal mucosal margin involved by in situ carcinoma
  • Surgical distal mucosal margin uninvolved by in situ carcinoma
  • Surgical ductal margin uninvolved by in situ carcinoma
  • Surgical lateral margin involved by in situ carcinoma
  • Surgical lateral margin involved by in situ carcinoma/adenoma
  • Surgical lateral margin uninvolved by in situ carcinoma
  • Surgical lateral margin involved by tumor
  • Surgical margin involved by in situ carcinoma
  • Surgical margin involved by in situ carcinoma/adenoma
  • Surgical margin uninvolved by in situ carcinoma
  • Surgical margin uninvolved by in situ carcinoma/adenoma
  • Surgical mucosal margin involved by in situ carcinoma
  • Surgical mucosal margin uninvolved by in situ carcinoma
  • Surgical pancreatic duct margin involved by in situ carcinoma
  • Surgical pancreatic duct margin uninvolved by in situ carcinoma
  • Surgical pancreatic parenchymal margin involved by in situ carcinoma
  • Surgical parenchymal margin finding
  • Surgical proximal margin involved by in situ carcinoma
  • Surgical proximal margin involved by in situ carcinoma/adenoma
  • Surgical proximal margin uninvolved by in situ carcinoma
  • Surgical proximal margin uninvolved by in situ carcinoma/adenoma
  • Surgical proximal mucosal margin involved by in situ carcinoma
  • Surgical proximal mucosal margin uninvolved by in situ carcinoma

Clinical ClassificationClinical

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

CCSR NEO071
Malignant neoplasm, unspecified
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Carcinoma in Situ

    a lesion with cytological characteristics associated with invasive carcinoma but the tumor cells are confined to the epithelium of origin, without invasion of the basement membrane.

Table of NeoplasmsClinical

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

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
unknown site or unspecifiedC80.1C79.9D09.9D36.9D48.9D49.9

Patient EducationClinical

Cancer

Cancer is not just one disease but many diseases. Cancer begins in your cells, which are the building blocks of your body. Usually, your body forms new cells as needed, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should.

The full article covers:

  • What is cancer?
  • What are the types of cancer?
  • How does cancer develop?
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  • What are the treatments for cancer?
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Read the full article at MedlinePlus

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

Convert D09.9 to ICD-9-CMHistory

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

ICD-9-CM
234.9 Ca in situ NOS
Exact Match The mapping is direct, with no qualifiers.

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 D09.9Overview

Is D09.9 (Carcinoma in situ of other and unspecified sites) a billable code?

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

What MS-DRG does D09.9 group to?

When carcinoma in situ, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 826, 827, 828, 829, 830, 843, 844, 845, with relative weights from 0.8516 to 4.6778 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of D09.9?

Under the General Equivalence Mappings, carcinoma in situ, unspecified converts to ICD-9-CM 234.9 (ca in situ NOS). The mapping is a direct match.

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.