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D01.5 vs D49.0

D01.5 (Carcinoma in situ of liver, gallbladder and bile ducts) compared with D49.0 (Neoplasm of unspecified behavior of digestive system), from the official CMS tabular data. D01.5 and D49.0 name the same anatomical site (ampulla of vater) with a different neoplasm behavior.

Relationship

Informational

Neoplasm table relationship

D01.5
Carcinoma in situ of liver, gallbladder and bile ducts
D49.0
Neoplasm of unspecified behavior of digestive system

Same anatomical site, different neoplasm behavior.

Same site — unspecified behavior (ampulla of vater)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. D01.5 and D49.0 name the same anatomical site (ampulla of vater) with a different neoplasm behavior.

From the CMS Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

D01.5Carcinoma in situ of liver, gallbladder and bile ductsD49.0Neoplasm of unspecified behavior of digestive system
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionCarcinoma in situ of liver, gallbladder and bile ducts is a billable ICD-10-CM diagnosis code (D01.5).Neoplasm of unspecified behavior of digestive system is a billable ICD-10-CM diagnosis code (D49.0).
Includes
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia
'growth' NOS
neoplasm NOS
new growth NOS
tumor NOS

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