October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

D00 Carcinoma in situ of oral cavity, esophagus and stomach

All 11 codes in the D00 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

11

Can lead a claim

10

Cannot lead a claim

1

What CMS assigns to D00

10 of the 11 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 1 is assigned no clinical group. None of the 11 is assigned a comorbidity subgroup. 10 of the 11 can lead a claim.

Every code in D00

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
D00.0 Carcinoma in situ of lip, oral cavity and pharynx
D00.00Carcinoma in situ of oral cavity, unspecified siteCannot lead a claimPrincipal diagnosis not assigned to a clinical groupNoneNone
D00.01Carcinoma in situ of labial mucosa and vermilion borderCan lead a claimKNone
D00.02Carcinoma in situ of buccal mucosaCan lead a claimKNone
D00.03Carcinoma in situ of gingiva and edentulous alveolar ridgeCan lead a claimKNone
D00.04Carcinoma in situ of soft palateCan lead a claimKNone
D00.05Carcinoma in situ of hard palateCan lead a claimKNone
D00.06Carcinoma in situ of floor of mouthCan lead a claimKNone
D00.07Carcinoma in situ of tongueCan lead a claimKNone
D00.08Carcinoma in situ of pharynxCan lead a claimKNone
D00.1Carcinoma in situ of esophagusCan lead a claimKNone
D00.2Carcinoma in situ of stomachCan lead a claimKNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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