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

ICD-10 D05.00

Billable / Specific

Lobular carcinoma in situ of unspecified breast

D05
Block
0
Synonyms
743
LCDs
17
Payer Policies
0
Linked CPTs

About ICD-10-CM D05.00

ICD-10-CM code D05.00 represents Lobular carcinoma in situ of unspecified breast. This is a billable/specific code in the Neoplasms chapter (block D05). The 2026 edition of ICD-10-CM D05.00 became effective on October 1, 2025.

Medicare LCD Coverage for D05.00

Local Coverage Determinations (LCDs) from CMS MACs that list D05.00 as a covered diagnosis.

743 LCDs

Showing top 10 of 743 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 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: 58734, Effective: 2025-10-01 00:00:00, 268 covered, 0 non-covered
CPT 81299 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing D05.00.

17 policies

5 Medicare

External Breast Prostheses - Policy Article
Policy ID: ART-52478
Billing and Coding: Molecular Pathology Procedures
Policy ID: ART-56199
Billing and Coding: White Cell Colony Stimulating Factors
Policy ID: ART-56748
Billing and Coding: BRCA1 and BRCA2 Genetic Testing
Policy ID: ART-57449
Billing and Coding: Peripheral Nerve Blocks
Policy ID: ART-57788

5 Aetna

Magnetic Resonance Imaging (MRI) of the Breast
Policy ID: CPB-0105
Breast Reconstructive Surgery
Policy ID: CPB-0185
Breast and Ovarian Cancer Susceptibility Gene Testing, Prophylactic Mastectomy, and Prophylactic Oophorectomy
Policy ID: CPB-0227
Breast Biopsy Procedures
Policy ID: CPB-0269
Mammography
Policy ID: CPB-0584

CPT Codes Commonly Billed with D05.00

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

No procedure linkages on file for D05.00

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 D05.00 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
D05.00 2330 10000

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

ICD-10 D05.00, Billing FAQ

Is ICD-10 code D05.00 billable? +

Yes, D05.00 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What ICD-9 codes does D05.00 map to? +

Per CMS GEMs, D05.00 maps to ICD-9 codes: 2330. 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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