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D00.0 vs K13.2

D00.0 (Carcinoma in situ of lip, oral cavity and pharynx) compared with K13.2 (Leukoplakia and other disturbances of oral epithelium, including tongue), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. K13.2 carries an Excludes1 note covering D00.0: “carcinoma in situ of oral epithelium (D00.0-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

D00.0Carcinoma in situ of lip, oral cavity and pharynxK13.2Leukoplakia and other disturbances of oral epithelium, including tongue
Billing statusNon-billable header

Report instead: D00.00, D00.01, D00.02, D00.03, D00.04

Non-billable header

Report instead: K13.21, K13.22, K13.23, K13.24, K13.29

ClassificationC00-D49 — Neoplasms (C00-D49)K00-K95 — Diseases of the Digestive System (K00-K95)
DefinitionCarcinoma in situ of lip, oral cavity and pharynx is a non-billable ICD-10-CM category code (D00.0).Leukoplakia and other disturbances of oral epithelium, including tongue is a non-billable ICD-10-CM category code (K13.2).
Includes
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia
epithelial disturbances of tongue
Use additional code
code to identify:
exposure to environmental tobacco smoke (Z77.22)
exposure to tobacco smoke in the perinatal period (P96.81)
code to identify:
alcohol abuse and dependence (F10.-)
exposure to environmental tobacco smoke (Z77.22)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources