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ICD-10 Guide
ICD-10 CodesD01.1

D01.1

Billable

Carcinoma in situ of rectosigmoid junction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 D01.1 is a billable code used to indicate a diagnosis of carcinoma in situ of rectosigmoid junction.

Key Diagnostic Point:

Carcinoma in situ (CIS) of the rectosigmoid junction is a localized form of cancer characterized by the presence of abnormal cells that have not invaded surrounding tissues. This condition is often detected during screening procedures such as colonoscopy, where polyps or lesions may be biopsied. The rectosigmoid junction is the area where the rectum meets the sigmoid colon, making it a critical site for colorectal cancer screening. CIS is considered an early stage of cancer, and while it is not yet invasive, it has the potential to progress to invasive carcinoma if left untreated. Surveillance protocols typically involve regular colonoscopic examinations to monitor for any changes in the lesions, as well as potential surgical intervention to remove the affected area. The risk of progression to invasive cancer varies, but factors such as the size of the lesion, histological features, and patient demographics can influence this risk. Early detection and management are crucial to prevent progression and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires precise documentation of the location and characteristics of the carcinoma.
  • Differentiation from other types of colorectal lesions is necessary.
  • Need for regular surveillance and follow-up coding.
  • Potential for coding complications if the condition progresses.

Audit Risk Factors

  • Inadequate documentation of biopsy results.
  • Failure to document surveillance protocols.
  • Misclassification of the lesion type.
  • Inconsistent follow-up coding.

Specialty Focus

Medical Specialties

Gastroenterology

Documentation Requirements

Detailed reports of colonoscopy findings, biopsy results, and treatment plans.

Common Clinical Scenarios

Routine screening colonoscopies, follow-up for previously diagnosed lesions, and management of patients with a family history of colorectal cancer.

Billing Considerations

Documentation must clearly indicate the nature of the lesion and any interventions performed.

Oncology

Documentation Requirements

Comprehensive treatment plans, including surgical notes and pathology reports.

Common Clinical Scenarios

Management of patients post-diagnosis of carcinoma in situ, including discussions of surgical options and surveillance strategies.

Billing Considerations

Coordination with pathology for accurate staging and grading of lesions.

Coding Guidelines

Inclusion Criteria

Use D01.1 When
  • According to the official ICD
  • 10 coding guidelines, D01
  • 1 should be used when carcinoma in situ is confirmed through biopsy
  • It is important to document the specific site and any relevant clinical findings

Exclusion Criteria

Do NOT use D01.1 When
  • Exclusion criteria include cases where the carcinoma has progressed to invasive cancer

Related ICD-10 Codes

Related CPT Codes

45378CPT Code

Colonoscopy, flexible, diagnostic

Clinical Scenario

Used for routine screening or follow-up of known lesions.

Documentation Requirements

Document findings, any biopsies taken, and patient history.

Specialty Considerations

Gastroenterologists must ensure accurate reporting of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes and surveillance protocols.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes and surveillance protocols.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of patient records and facilitating better tracking of treatment outcomes and surveillance protocols.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of carcinoma in situ?

Carcinoma in situ is an early form of cancer that has not invaded surrounding tissues. It is crucial to detect and manage it early to prevent progression to invasive cancer.