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D04.11 vs D04.12

D04.11 (Carcinoma in situ of skin of right eyelid, including canthus) compared with D04.12 (Carcinoma in situ of skin of left eyelid, including canthus), from the official CMS tabular data. D04.11 and D04.12 code the same condition on opposite sides.

Relationship

Review

Laterality relationship

D04.11
Right
Carcinoma in situ of skin of right eyelid, including canthus
D04.12
Left
Carcinoma in situ of skin of left eyelid, including canthus

Same condition; these differ only in which side is documented.

These codes share a category and title and differ only in the side affected. The documentation decides which applies, and a bilateral code is reported only where the code set provides one.

Source: ICD-10-CM tabular list (laterality variant derived from the code title)

Can these codes be reported together?

Same condition, opposite side. D04.11 and D04.12 name the same condition on opposite sides of the body.

Same category and title, differing only in which side is affected — the documentation decides which one applies, and a bilateral code is reported only where the code set provides one.

Side by side

D04.11Carcinoma in situ of skin of right eyelid, including canthusD04.12Carcinoma in situ of skin of left eyelid, including canthus
Billing statusNon-billable header

Report instead: D04.111, D04.112

Non-billable header

Report instead: D04.121, D04.122

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionCarcinoma in situ of skin of right eyelid, including canthus is a non-billable ICD-10-CM category code (D04.11).Carcinoma in situ of skin of left eyelid, including canthus is a non-billable ICD-10-CM category code (D04.12).
Includes
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia

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