D05
Non-Billable

Carcinoma in situ of breast

Non-Billable / Non-Specific Code

What is Carcinoma in situ of breast?

ICD-10-CM D05 is the diagnosis code for Carcinoma in situ of breast. This code falls under the section "In situ neoplasms" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for D05

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as D05. They are mutually exclusive:

  • carcinoma in situ of skin of breast (D04.5)
  • melanoma in situ of breast (skin) (D03.5)
  • Paget's disease of breast or nipple (C50.-)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in D05. If the patient has both, code each condition separately:

  • malignant neoplasm of breast (C50.-)

ICD-10-CM Code Hierarchy

Understanding where D05 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeD05 — Carcinoma in situ of breast
Sub-Codes 4 entries
D05.0Lobular carcinoma in situ of breastNon-BillableD05.00Lobular carcinoma in situ of unspecified breastBillableD05.01Lobular carcinoma in situ of right breastBillableD05.02Lobular carcinoma in situ of left breastBillableD05.1Intraductal carcinoma in situ of breastNon-BillableD05.10Intraductal carcinoma in situ of unspecified breastBillableD05.11Intraductal carcinoma in situ of right breastBillableD05.12Intraductal carcinoma in situ of left breastBillableD05.8Other specified type of carcinoma in situ of breastNon-BillableD05.80Other specified type of carcinoma in situ of unspecified breastBillableD05.81Other specified type of carcinoma in situ of right breastBillableD05.82Other specified type of carcinoma in situ of left breastBillableD05.9Unspecified type of carcinoma in situ of breastNon-BillableD05.90Unspecified type of carcinoma in situ of unspecified breastBillableD05.91Unspecified type of carcinoma in situ of right breastBillableD05.92Unspecified type of carcinoma in situ of left breastBillable
Related Codes

Frequently Asked Questions

Is D05 a billable ICD-10-CM code?

No, D05 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does D05 mean?

D05 is the ICD-10-CM diagnosis code for "Carcinoma in situ of breast". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is D05 in?

D05 is located in Section D00-D09 — "In situ neoplasms" within Chapter 2 of the ICD-10-CM Tabular List.

What are the sub-codes of D05?

D05 has 4 sub-code(s) that provide more specific detail: D05.0, D05.1, D05.8, D05.9.

When should I use D05?

Use D05 when the patients documented diagnosis matches "Carcinoma in situ of breast" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Carcinoma in situ of breast?

The ICD-10-CM code for Carcinoma in situ of breast is D05.

Can D05 be used for primary diagnosis?

No, D05 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is D05 in?

D05 is in Chapter 2 of the ICD-10-CM Tabular List.

What conditions are excluded from D05?

Type 1 Excludes for D05 include: carcinoma in situ of skin of breast (D04.5); melanoma in situ of breast (skin) (D03.5); Paget's disease of breast or nipple (C50.-).

Is D05 valid for 2026?

Yes, D05 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousD04.9Carcinoma in situ of skin, unspecifiedNext →D05.0Lobular carcinoma in situ of breast
Code Details
D05
Carcinoma in situ of breast
Non-Billable / Non-Specific Code
2 — Neoplasms (C00-D49)
D00-D09 — In situ neoplasms
2026 ICD-10-CM