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

ICD-10 D04.20

Billable / Specific

Carcinoma in situ of skin of unspecified ear and external auricular canal

D04
Block
0
Synonyms
203
LCDs
9
Payer Policies
0
Linked CPTs

About ICD-10-CM D04.20

ICD-10-CM code D04.20 represents Carcinoma in situ of skin of unspecified ear and external auricular canal. This is a billable/specific code in the Neoplasms chapter (block D04). The 2026 edition of ICD-10-CM D04.20 became effective on October 1, 2025.

Medicare LCD Coverage for D04.20

Local Coverage Determinations (LCDs) from CMS MACs that list D04.20 as a covered diagnosis.

203 LCDs

Showing top 10 of 203 total . Click a CPT for full coverage scope.

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 →
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 81300 →
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 81351 →
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 81167 →
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 81405 →
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 0103U →
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 81201 →
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 81297 →
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 81298 →
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 81299 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D04.20.

9 policies

5 Medicare

Billing and Coding: White Cell Colony Stimulating Factors
Policy ID: ART-56748
Billing and Coding: Destruction of Malignant Skin Lesions
Policy ID: ART-57638
Billing and Coding: Excision of Malignant Skin Lesions
Policy ID: ART-57660
Billing and Coding: Mohs Micrographic Surgery (MMS)
Policy ID: ART-57767
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788

1 Aetna

Bone-Anchored Hearing Aids
Policy ID: CPB-0403

CPT Codes Commonly Billed with D04.20

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

No procedure linkages on file for D04.20

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

Convert D04.20 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
D04.20 2322 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 D04.20, Billing FAQ

Is ICD-10 code D04.20 billable? +

Yes, D04.20 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does D04.20 map to? +

Per CMS GEMs, D04.20 maps to ICD-9 codes: 2322. Useful for legacy data review and historical claim analysis.

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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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