2020 ICD-10-CM Diagnosis Code D03

Melanoma in situ

    2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
  • D03 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2020 edition of ICD-10-CM D03 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of D03 - other international versions of ICD-10 D03 may differ.
The following code(s) above D03 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to D03:
  • C00-D49
    2020 ICD-10-CM Range C00-D49

    Neoplasms

    Note
    • Functional activity
    • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
    • Morphology [Histology]
    • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
    • Primary malignant neoplasms overlapping site boundaries
    • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
    • Malignant neoplasm of ectopic tissue
    • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
    Neoplasms
  • D00-D09
    2020 ICD-10-CM Range D00-D09

    In situ neoplasms

    Includes
    • Bowen's disease
    • erythroplasia
    • grade III intraepithelial neoplasia
    • Queyrat's erythroplasia
    In situ neoplasms
Clinical Information
  • A melanoma of the skin characterized by the presence of melanoma cells in the dermal-epidermal junction only, without infiltration of the papillary or reticular dermis.
  • Abnormal melanocytes (cells that make melanin, the pigment that gives skin its color) are found in the epidermis (outer layer of the skin). These abnormal melanocytes may become cancer and spread into nearby normal tissue.
  • Stage 0 includes: tis, n0, m0. Tis: melanoma in situ. N0: no regional lymph node metastases. M0: no detectable evidence of distant metastases. (from ajcc 6th and 7th eds.)
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to D03:
  • Type 1 Excludes: C43
    , D00
    , D01
    , D02
    , D04
    , D09
    ICD-10-CM Diagnosis Code C43

    Malignant melanoma of skin

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    • malignant melanoma of skin of genital organs (C51-C52, C60.-, C63.-)
    • Merkel cell carcinoma (C4A.-)
    • sites other than skin-code to malignant neoplasm of the site
    ICD-10-CM Diagnosis Code D00

    Carcinoma in situ of oral cavity, esophagus and stomach

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code D01

    Carcinoma in situ of other and unspecified digestive organs

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    ICD-10-CM Diagnosis Code D02

    Carcinoma in situ of middle ear and respiratory system

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Use Additional
    • code to identify:
    • exposure to environmental tobacco smoke (Z77.22)
    • exposure to tobacco smoke in the perinatal period (P96.81)
    • history of tobacco dependence (Z87.891)
    • occupational exposure to environmental tobacco smoke (Z57.31)
    • tobacco dependence (F17.-)
    • tobacco use (Z72.0)
    ICD-10-CM Diagnosis Code D04

    Carcinoma in situ of skin

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • erythroplasia of Queyrat (penis) NOS (D07.4)
    • melanoma in situ (D03.-)
    ICD-10-CM Diagnosis Code D09

    Carcinoma in situ of other and unspecified sites

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
  • Applicable To: Z86.006
    ICD-10-CM Diagnosis Code Z86.006

    Personal history of melanoma in-situ

      2020 - New Code Billable/Specific Code POA Exempt
    Applicable To
    • Conditions classifiable to D03
    Type 2 Excludes
    • sites other than skin - code to personal history of in-situ neoplasm of the site
ICD-10-CM Codes Adjacent To D03
D01.9 Carcinoma in situ of digestive organ, unspecified
D02 Carcinoma in situ of middle ear and respiratory system
D02.0 Carcinoma in situ of larynx
D02.1 Carcinoma in situ of trachea
D02.2 Carcinoma in situ of bronchus and lung
D02.20 Carcinoma in situ of unspecified bronchus and lung
D02.21 Carcinoma in situ of right bronchus and lung
D02.22 Carcinoma in situ of left bronchus and lung
D02.3 Carcinoma in situ of other parts of respiratory system
D02.4 Carcinoma in situ of respiratory system, unspecified
D03 Melanoma in situ
D03.0 Melanoma in situ of lip
D03.1 Melanoma in situ of eyelid, including canthus
D03.10 Melanoma in situ of unspecified eyelid, including canthus
D03.11 Melanoma in situ of right eyelid, including canthus
D03.111 Melanoma in situ of right upper eyelid, including canthus
D03.112 Melanoma in situ of right lower eyelid, including canthus
D03.12 Melanoma in situ of left eyelid, including canthus
D03.121 Melanoma in situ of left upper eyelid, including canthus
D03.122 Melanoma in situ of left lower eyelid, including canthus
D03.2 Melanoma in situ of ear and external auricular canal

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.