D09.19
D09.19 — Carcinoma in situ of other urinary organs
Billable / specific codeICD-10-CM
D09.19 is a billable, specific ICD-10-CM code for carcinoma in situ of other urinary organs. It is valid for submission on a claim.
Risk adjustment
D09.19 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
D09.19 is named in 16 Medicare coverage policies — 16 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
Code history
D09.19 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share D09.1. If D09.19 is not quite right, the correct code is usually one of these.
Questions about D09.19
- Is D09.19 a billable ICD-10-CM code?
- Yes. D09.19 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does D09.19 sit in the tabular list?
- Neoplasms (C00-D49), in the block In situ neoplasms (D00-D09).