icd 10 code for squamous cell carcinoma in situ icd 10 code for squamous cell carcinoma in situ

CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. The Centers for Medicare 38 Medicaid Services CMS wants your comment on the FY 2018 Inpatient Prospective Payment System and Long Term Acute Care HospitalProposed RulebyJune 13 2017. Cutaneous squamous-cell carcinoma is the second most common skin cancer, accounting for over 1 million cases in the United States each year.. Thyroid []. In accordance with CMS Ruling 95-1 (V), utilization of these services should be consistent with locally acceptable standards of practice. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. Condition ICD-10-CM Codes ICD-9-CM Codes Non-malignant skin cancer C44 (other and unspecified malignant . AHA copyrighted materials including the UB‐04 codes and The AMA assumes no liability for data contained or not contained herein. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, In accordance with CMS Ruling 95-1 (V), utilization of these services should be consistent with locally acceptable standards of practice. required field. Every page of the record must be legible and include appropriate patient identification information (e.g., complete name, dates of service[s]). The older a person, the longer sun exposure they have had, Overexposure or long-term exposure to X-rays. damages arising out of the use of such information, product, or process. how would you code the excessive bleeding from SCC of the left side of nose and most of the left cheek? Histology of SCC Usual type vulval intraepithelial neoplasia Risk factors for the disease are exposure to sun (specifically . By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Compliance with the provisions in LCD L33813, Destruction of Malignant Skin Lesions may be monitored and addressed through post payment data analysis and subsequent medical review audits. The Table of Neoplasms should be used to identify the correct topography code. M0: no clinical or radiographic evidence of distant metastasis. Before sharing sensitive information, make sure you're on a federal government site. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. Note: . However, please note that once a group is collapsed, the browser Find function will not find codes in that group. authorized with an express license from the American Hospital Association. Revenue Codes are equally subject to this coverage determination. If the "INDICATOR" is set to "2" these records were re -reviewed and over road the rules from ICD-O-3 code book. Medicare Telehealth Coding as of April 30, Failure to Approve Proton Tx Costs Aetna $25 M, MIPS Quality Measures Affected by ICD-10 Update. Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. Request a Demo 14 Day Free Trial Buy Now Official Long Descriptor By clicking below on the button labeled "I accept", you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. The AMA does not directly or indirectly practice medicine or dispense medical services. "JavaScript" disabled. This would be most appropriately reported using the excision of benign lesion codes 11400-11446. Copyright 2023, AAPC 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. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. The page could not be loaded. Noninvasive can be used as a synonym for in situ, ICD-O-3 behavior code /2. The Table of Neoplasms should be used to identify the correct topography code. End User License Agreement: For example, 173.22:Squamous cell carcinoma of the skin of the ear and external auditory canal. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. C34 Malignant neoplasm of the bronchi and lung. This email will be sent from you to the HPV-related oropharyngeal squamous cell carcinoma (OPSCC) is associated with a favorable prognosis, yet patients of color and low socioeconomic status (SES) continue to experience inferior outcomes. These rules can be found i n the front of the ICD-O-3 code book. Billing There are multiple ways to create a PDF of a document that you are currently viewing. used to report this service. Proper coding is C44.02Squamous cell carcinoma of skin of lip. %%EOF CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Create your account. 2. C44.02 Squamous cell carcinoma of skin of lip Per the 2020 ICD-10 guidelines, 'consistent with' should be treated as an uncertain diagnosis, wh [QUOTE="TThivierge, post: 478222, member: 216725"] Primary squamous-cell carcinoma of the thyroid shows an aggressive biological phenotype . CMS believes that the Internet is S. Absence of a Bill Type does not guarantee that the When verrucous carcinoma forms on your feet, they manage it as a skin cancer. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). This common malignancy is primarily seen in older adults and most frequently occurs on sun-exposed skin. Some articles contain a large number of codes. . recommending their use. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. What is the ICD 10 code for skin cancer of nose? All Rights Reserved. proven squamous cell carcinoma on his back. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Applicable FARS/HHSARS apply. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. FAQ icd 10 code for basal cell carcinoma of nose What is the ICD 10 for basal cell carcinoma of skin? an effective method to share Articles that Medicare contractors develop. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. C44.02 Squamous cell carcinoma of skin of lip Example 32 Coding of Neoplasms in ICD-10-CM CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. determine from the record if the neoplasm is benign, in-situ, malignant, or of uncertain histologic behavior. icd 10 code for bone marrow edema right knee. [LIST] It is the providers responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim(s) submitted. endstream endobj 605 0 obj <. D04.10 Carcinoma in situ of skin of unspecified eyelid, including canthus D04.111 Carcinoma in situ of skin of right upper eyelid, including . article does not apply to that Bill Type. Objectives: To determine patient and disease characteristics, treatment patterns and long-term outcomes, in order to help direct management of patients with VIN 3, to examine the risk of development of cancer following a diagnosis of VIN 3 and the risk of recurrent disease requiring multiple treatment episodes, and to review patients with vulval cancer, in order to establish the relative . Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. ICD-9-CM Coding Chapter 2 of the ICD-9-CM contains the . My provider is documenting a squamous cell carcinoma in situ of the jaw, do I code this as C44.329 or D04.39 as the SCC and in situ are separate ICD-10 codes? The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Instructions for enabling "JavaScript" can be found here. D04.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The AMA is a third party beneficiary to this Agreement. of every MCD page. [QUOTE="mbellar, post: 509227, member: 180067"] . The medical record/ progress note should indicate the removal of a malignant or an ambiguous, but moderate to high suspicion lesion with a corresponding pathology report.The size and location of the lesion should be documented in the operative report. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA is a third party beneficiary to this Agreement. Refer to the LCD for reasonable and necessary requirements and limitations. Squamous cell carcinoma (80703; arises mostly in lower third of cervix; 90% of all cervical cancers; also called epidermoid carcinoma) Squamous carcinoma in situ with questionable stromal invasion (80762) recipient email address(es) you enter. Applicable FARS/HHSARS apply. resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; #2. due to the exclude 1 note you do not code the C50 code with the D05 code so code only the invasive. Instructions for enabling "JavaScript" can be found here. This section shows you chapter-specific coding guidelines to increase your understanding and correct usage of the target ICD-10-CM Volume 1 code. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. I hope this helps!! It often arises within solar/ actinic keratosis or within squamous cell carcinoma in situ. If malignant, any secondary (metastatic) sites should also be . Squamous cell carcinoma (SCC) is the second most common type of skin cancer. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. Lady T:cool: [QUOTE="jh1991, post: 469112, member: 237375"] presented in the material do not necessarily represent the views of the AHA. All neoplasms are classified in this chapter, whether they are functionally active or not. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. The submitted CPT/HCPCS code must describe the service performed. This Agreement will terminate upon notice if you violate its terms. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Excision of Malignant Skin Lesions, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Article - Billing and Coding: Excision of Malignant Skin Lesions (A57660). Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. Check out the dx block of D04.4. Refers to a mixed tumor containing both adenocarcinoma and squamous cell carcinoma, wherein each of these cell types comprise at least 10% of the tumor volume. When verrucous carcinoma forms in your mouth, healthcare providers manage the condition as an oral cancer. CDT is a trademark of the ADA. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. This email will be sent from you to the required field. Basal cell carcinoma of skin, unspecified. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. The codes for squamous cell carcinoma are under category C44 Other and unspecified malignant neoplasm of skin. You can collapse such groups by clicking on the group header to make navigation easier. 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. The CPT code should reflect the knowledge, skill, time and effort that the provider invests in the excision of the lesion. Popular urban legend Hi, CMS and its products and services are not endorsed by the AHA or any of its affiliates. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt. 9: Squamous cell carcinoma of the anus, NOS Squamous cell carcinoma of the anus (C210) is reportable. An additional code from Chapter 4 may be used, to identify functional . The development of SCCis has also been associated with immunosuppression . End Users do not act for or on behalf of the CMS. On a Friday at monthend theCenters for Medicare 38 Medicaid Services CMS Proton therapy has been a tough sell for payers but recent 25 million Oklahoma decision against Aetna may make them reconsider coverage for the spreading radiation therapy technique. Applications are available at the American Dental Association web site. CMS and its products and services are The views and/or positions The term vulval intraepithelial neoplasia describes two conditions with different biological behaviour: usual type and differentiated type. Draft articles have document IDs that begin with "DA" (e.g., DA12345). I found this article, where it sate See links to CMS documents related to your ICD-10-CM code without changing pages or searching the Web. See note under "HIST" variable. Oncology. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. It is derived from cells within the epidermis that make keratin the horny protein that makes up skin, hair and nails. Complete absence of all Bill Types indicates The 4.2 cm excised diameter lesion Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (. malignant, in situ, benign, etc. edit checks by using the ICD-O-1 code book. Sometimes, a large group can make scrolling thru a document unwieldy. presented in the material do not necessarily represent the views of the AHA. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. "JavaScript" disabled. All rights reserved. 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. CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (, Intraepidermal squamous carcinoma of face, Squamous cell carcinoma in situ, skin of face. OPSCC cases were defined using the following International Classification of Disease for Oncology (ICD-O-3) site codes: base of tongue (C01.9 . A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. Sometimes, a large group can make scrolling thru a document unwieldy. All neoplasms are classified in this chapter, whether they are functionally active or not. No fee schedules, basic unit, relative values or related listings are included in CPT. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving the CMS MCD and are being redirected to, Billing and Coding: Destruction of Malignant Skin Lesions, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Article - Billing and Coding: Destruction of Malignant Skin Lesions (A57638). There are 90 terms under the parent term 'Carcinoma In Situ' in the ICD-10-CM Alphabetical Index . Another option is to use the Download button at the top right of the document view pages (for certain document types). thank you i will Hi [/QUOTE] CDT is a trademark of the ADA. Codes with a subcategory listing further specify laterality. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or For example, an ambiguous, but low-suspicion lesion might be excised with minimal surrounding, grossly normal skin/soft tissue margins, as for a benign lesion. Vulval (or vulvar) intraepithelial neoplasia is a pre-cancerous skin lesion (a type of squamous cell carcinoma in situ) that can affect any part of the vulva . If your session expires, you will lose all items in your basket and any active searches. ICD-10 code D04 for Carcinoma in situ of skin is a medical classification as listed by WHO under the range - Neoplasms . The codes for squamous cell carcinoma are under category C44 Other and unspecified malignant neoplasm of skin. An official website of the United States government. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. Complete absence of all Revenue Codes indicates The submitted CPT/HCPCS code must describe the service performed. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11620, 11621, 11622, 11623, 11624, and 11626. We did one shave biopsy and the path report came back as Inflamed AK with extremely focal areas of squamous cell carcinoma in situ. Lady T:cool: Reproduced with permission. This Agreement will terminate upon notice if you violate its terms. The Medicare program provides limited benefits for outpatient prescription drugs. Fv 27, 2023 . Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. If your session expires, you will lose all items in your basket and any active searches. Before sharing sensitive information, make sure you're on a federal government site. This type of excision would be most appropriately reported using the excision of malignant lesion including margins codes 11600- 11646. [*]Carcinoma in situ of skin of s [QUOTE="thomas7331, post: 478231, member: 5404"] 23. THE UNITED STATES The following ICD-10-CM codes support medical necessity and provide limited coverage for CPT codes: 11640, 11641, 11642, 11643, 11644, and 11646. Get crucial instructions for accurate ICD-10-CM D04 coding with all applicable Excludes 1 and Excludes 2 notes from the section level conveniently shown with each code. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Oct 2, 2018. An asterisk (*) indicates a Also, you can decide how often you want to get updates. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. This page displays your requested Article. The 2023 edition of ICD-10-CM D04.9 became effective on October 1, 2022. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. Neither the United States Government nor its employees represent that use of such information, product, or processes CPT codes, descriptions and other data only are copyright 2022 American Medical Association. . CeAe?Es=p+PdM#KH B1)dV m}T*^-!>_H {%| ApL'%n(^}p,3HaKYl8mR Uem#pgC Aq_f`L}daP? Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. End User Point and Click Amendment: Squamous cell carcinoma, skin of left breast; Squamous cell carcinoma, skin of right breast; ICD-10-CM C44.521 is grouped within Diagnostic Related Group(s) (MS-DRG v 40.0): 606 Minor skin disorders with mcc; 607 Minor skin disorders without mcc; Convert C44.521 to ICD-9-CM. C44.12: Squamous cell carcinoma of skin of eyelid, including canthus. Adenocarcinoma (81403) of the bladder Very rare (2%) and almost impossible to distinguish from primary prostate carcinoma which has extended into the bladder. To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Example 1: A patient returns to the dermatologist to discuss removal of his SCC on his lower lip. I hope this helps you. Chemical exposures, such as arsenic in drinking water, tar, or working with insecticides or herbicides. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Any questions pertaining to the license or use of the CPT should be addressed to the AMA. The Centers for Medicare 38 Medicaid Services CMS has identified four quality measures impacted by the Oct. 1 update to the ICD10CM code set. Copyright © 2022, the American Hospital Association, Chicago, Illinois. Your MCD session is currently set to expire in 5 minutes due to inactivity. An asterisk (*) indicates a The Medicare program provides limited benefits for outpatient prescription drugs. An official website of the United States government. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. You can use the Contents side panel to help navigate the various sections. ICDO3 codes, behaviors and terms are sitespecific Updated 8/22/2018 Numeric Order by Morphology Code Status ICDO3 Morphology Code Term Reportable Y/N Comments New Term 8010/3 Urachal carcinoma (C65.9, C66.9, C67. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. "Invasive" squamous cell carcinomas are the type that grow inward and may spread. The CMS.gov Web site currently does not fully support browsers with Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. Please visit the. However, services performed for any given diagnosis must meet all of the indications and limitations stated in the LCD, the general requirements for medical necessity as stated in CMS payment policy manuals, any and all existing CMS national coverage determinations, and all Medicare payment rules. 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. There are multiple ways to create a PDF of a document that you are currently viewing. Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. The submitted medical record must support the use of the selected ICD-10-CM code(s). In most instances Revenue Codes are purely advisory. In this context, annotation back-references refer to codes that contain: Short description: Squamous cell carcinoma skin/ upper limb, including shoulder, This is the American ICD-10-CM version of. on Squamous Cell Carcinoma ICD-10-CM Coding, Tech & Innovation in Healthcare eNewsletter, Excision of Benign or Malignant Skin Lesion, Healthcare Finance Newsday: "AHIMA, AHA back move to ICD-10 as other groups cite high costs", AAPC to Host 17th Annual National Conference in Las Vegas in April 2009, Portability Issues Give PHRs a Rocky Start, Dome-shaped or crusty lesion that may bleed, Flat, reddish, scaly patch that grows slowly, Blue or green eyed people with blond or red hair, Long-term daily sun exposure, as with people that work outdoors with no sun protection or covering up, Older age. Thank you for your comment. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Privacy Policy | Terms & Conditions | Contact Us. Your MCD session is currently set to expire in 5 minutes due to inactivity. Healthcare providers are granted even more latitude for use of telehealth services during the COVID19 public health emergency. authorized with an express license from the American Hospital Association. The views and/or positions presented in the material do not necessarily represent the views of the AHA. The views and/or positions presented in the material do not necessarily represent the views of the AHA. Please visit the. C44.12- Squamous cell carcinoma of skin of eyelid, including canthus This is the American ICD-10-CM version of C44.52 - other international versions of ICD-10 C44.52 may differ. Request a Demo 14 Day Free Trial Buy Now Official Long Descriptor Carcinoma in situ of skin Excludes1: erythroplasia of Queyrat (penis) NOS ( D07.4) Note: Squamous cell carcinoma of the perianal skin (C445) is : not : . 21767324 DOI: 10.1111/j.1524-4725.2011.02088.x Abstract Background: It should be treated before invasive cancer develops, especially in transplant recipients, who may develop more aggressive skin cancers. 0 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. This is the American ICD-10-CM version of D04.9 - other international versions of ICD-10 D04.9 may differ. You can use the Contents side panel to help navigate the various sections. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). The submitted medical record must support the use of the selected ICD-10-CM code(s). AHA copyrighted materials including the UB‐04 codes and You acknowledge that the ADA holds all copyright, trademark and other rights in CDT.