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ICD-10/D03.61

D03.61 ICD-10-CM Code: Melanoma in situ of right upper limb, including shoulder

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Inpatient Payment Groups (MS-DRG)

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43.0, Appendix B.

  • MS-DRG 595 — MAJOR SKIN DISORDERS WITH MCC (MDC 09)
  • MS-DRG 596 — MAJOR SKIN DISORDERS WITHOUT MCC (MDC 09)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 23 — Prostate, Breast, and Other Cancers and Tumors

Other models: CMS-HCC V22 HCC 12 · RxHCC V08 HCC 22

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Official Registry Overview & Definition

Melanoma in situ of right upper limb, including shoulder is a billable ICD-10-CM diagnosis code (D03.61).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for D03.61 in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • Bowen's disease
  • erythroplasia
  • grade III intraepithelial neoplasia
  • Queyrat's erythroplasia

Change history

No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.

Verify Before Coding

  • Billable — reportable as written.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.

Contextual Map

Every relationship of D03.61 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Hierarchy

  • C00-D49 — Chapter 2: Neoplasms (C00-D49) (C00-D49) [Hierarchy]

Referenced by Excludes1 notes

  • C43 — Malignant melanoma of skin [Excludes1](via D03.-): “melanoma in situ (D03.-)”
  • D00 — Carcinoma in situ of oral cavity, esophagus and stomach [Excludes1](via D03.-): “melanoma in situ (D03.-)”
  • D01 — Carcinoma in situ of other and unspecified digestive organs [Excludes1](via D03.-): “melanoma in situ (D03.-)”
  • D02 — Carcinoma in situ of middle ear and respiratory system [Excludes1](via D03.-): “melanoma in situ (D03.-)”
  • D04 — Carcinoma in situ of skin [Excludes1](via D03.-): “melanoma in situ (D03.-)”
  • D09 — Carcinoma in situ of other and unspecified sites [Excludes1](via D03.-): “melanoma in situ (D03.-)”

Clinical classification (CCSR)

  • NEO025 — Skin cancers - melanoma [CCSR]

Risk adjustment (CMS-HCC)

  • HCC 23 — Prostate, Breast, and Other Cancers and Tumors [CMS-HCC]

Potential MS-DRG

  • DRG 595 — MAJOR SKIN DISORDERS WITH MCC [MS-DRG]: “MAJOR SKIN DISORDERS WITH MCC (MDC 09)”
  • DRG 596 — MAJOR SKIN DISORDERS WITHOUT MCC [MS-DRG]: “MAJOR SKIN DISORDERS WITHOUT MCC (MDC 09)”

Nearest codes (31)

  • D03 — Melanoma in situ [Sibling]
  • D03.0 — Melanoma in situ of lip [Sibling]
  • D03.1 — Melanoma in situ of eyelid, including canthus [Sibling]
  • D03.10 — Melanoma in situ of unspecified eyelid, including canthus [Sibling]
  • D03.11 — Melanoma in situ of right eyelid, including canthus [Sibling]
  • D03.111 — Melanoma in situ of right upper eyelid, including canthus [Sibling]
  • D03.112 — Melanoma in situ of right lower eyelid, including canthus [Sibling]
  • D03.12 — Melanoma in situ of left eyelid, including canthus [Sibling]
  • and 23 more

Referenced by Other Codes

Clinical classification (AHRQ CCSR):NEO025 — Skin cancers - melanoma (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Potential MS-DRG Relationships (FY2026)

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 595 (MDC 09), DRG 596 (MDC 09).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Official ICD-10-CM tabular notes on other codes that name D03.61 or its code family.

6 Excludes1 notes: C43 (via D03.-), D00 (via D03.-), D01 (via D03.-), D02 (via D03.-), D04 (via D03.-), D09 (via D03.-).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to D03.61 in its code family, with their registry titles.

  • D03.51 — Melanoma in situ of anal skin
  • D03.52 — Melanoma in situ of breast (skin) (soft tissue)
  • D03.59 — Melanoma in situ of other part of trunk
  • D03.6 — Melanoma in situ of upper limb, including shoulder
  • D03.60 — Melanoma in situ of unspecified upper limb, including shoulder
  • D03.62 — Melanoma in situ of left upper limb, including shoulder
  • D03.7 — Melanoma in situ of lower limb, including hip
  • D03.70 — Melanoma in situ of unspecified lower limb, including hip
  • D03.71 — Melanoma in situ of right lower limb, including hip
  • D03.72 — Melanoma in situ of left lower limb, including hip

View all codes in the D03 family