ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 D04.111

Billable / Specific

Carcinoma in situ of skin of right upper eyelid, including canthus

D04
Block
0
Synonyms
731
LCDs
41
Payer Policies
21
Linked CPTs

About ICD-10-CM D04.111

ICD-10-CM code D04.111 represents Carcinoma in situ of skin of right upper eyelid, including canthus. This is a billable/specific code in the Neoplasms chapter (block D04). The 2026 edition of ICD-10-CM D04.111 became effective on October 1, 2025.

Medicare LCD Coverage for D04.111

Local Coverage Determinations (LCDs) from CMS MACs that list D04.111 as a covered diagnosis.

731 LCDs

Showing top 10 of 731 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: MolDX: Lab-Developed Tests for Inherited Cancer Syndromes in Patients with Cancer
Article ID: 58679, Effective: 2026-02-05 00:00:00, 1346 covered, 0 non-covered
CPT 81215 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D04.111.

41 policies

5 Medicare

Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Policy ID: ART-52480
Billing and Coding: Mohs Micrographic Surgery (MMS)
Policy ID: ART-53883
Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
Policy ID: ART-54768
Billing and Coding: Removal of Benign and Malignant Skin Lesions
Policy ID: ART-56346
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421

CPT Codes Commonly Billed with D04.111

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

21 linkages
  • 77336 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77370 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77439 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77436 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77437 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77285 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 0394T CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77280 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • G6001 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD
  • 77300 CMS LCD: Billing and Coding: Superficial Radiation Therapy (SRT) for the Treatment of Nonmelanoma Skin Cancers (NMSC) CMS LCD

ICD-10 D04.111, Billing FAQ

Is ICD-10 code D04.111 billable? +

Yes, D04.111 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with D04.111? +

Procedures frequently paired with D04.111 include: 77336, 77370, 77439, 77436, 77437.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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