ICD-10 · PDGM grouping
D03 Melanoma in situ
All 23 codes in the D03 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.
Codes in family
23
Can lead a claim
17
Cannot lead a claim
6
What CMS assigns to D03
17 of the 23 codes group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases; 6 are assigned no clinical group. None of the 23 is assigned a comorbidity subgroup. 17 of the 23 can lead a claim.
Every code in D03
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| D03.0 | Melanoma in situ of lip | Can lead a claim | K | None |
| D03.1 Melanoma in situ of eyelid, including canthus | ||||
| D03.10 | Melanoma in situ of unspecified eyelid, including canthus | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D03.11 Melanoma in situ of right eyelid, including canthus | ||||
| D03.111 | Melanoma in situ of right upper eyelid, including canthus | Can lead a claim | K | None |
| D03.112 | Melanoma in situ of right lower eyelid, including canthus | Can lead a claim | K | None |
| D03.12 Melanoma in situ of left eyelid, including canthus | ||||
| D03.121 | Melanoma in situ of left upper eyelid, including canthus | Can lead a claim | K | None |
| D03.122 | Melanoma in situ of left lower eyelid, including canthus | Can lead a claim | K | None |
| D03.2 Melanoma in situ of ear and external auricular canal | ||||
| D03.20 | Melanoma in situ of unspecified ear and external auricular canalCMS: Melanoma in situ of unsp ear and external auricular canal | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D03.21 | Melanoma in situ of right ear and external auricular canal | Can lead a claim | K | None |
| D03.22 | Melanoma in situ of left ear and external auricular canal | Can lead a claim | K | None |
| D03.3 Melanoma in situ of other and unspecified parts of face | ||||
| D03.30 | Melanoma in situ of unspecified part of face | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D03.39 | Melanoma in situ of other parts of face | Can lead a claim | K | None |
| D03.4 | Melanoma in situ of scalp and neck | Can lead a claim | K | None |
| D03.5 Melanoma in situ of trunk | ||||
| D03.51 | Melanoma in situ of anal skin | Can lead a claim | K | None |
| D03.52 | Melanoma in situ of breast (skin) (soft tissue) | Can lead a claim | K | None |
| D03.59 | Melanoma in situ of other part of trunk | Can lead a claim | K | None |
| D03.6 Melanoma in situ of upper limb, including shoulder | ||||
| D03.60 | Melanoma in situ of unspecified upper limb, including shoulderCMS: Melanoma in situ of unsp upper limb, including shoulder | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D03.61 | Melanoma in situ of right upper limb, including shoulder | Can lead a claim | K | None |
| D03.62 | Melanoma in situ of left upper limb, including shoulder | Can lead a claim | K | None |
| D03.7 Melanoma in situ of lower limb, including hip | ||||
| D03.70 | Melanoma in situ of unspecified lower limb, including hip | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
| D03.71 | Melanoma in situ of right lower limb, including hip | Can lead a claim | K | None |
| D03.72 | Melanoma in situ of left lower limb, including hip | Can lead a claim | K | None |
| D03.8 | Melanoma in situ of other sites | Can lead a claim | K | None |
| D03.9 | Melanoma in situ, unspecified | Cannot lead a claimPrincipal diagnosis not assigned to a clinical group | None | None |
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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