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ICD-10 Guide
ICD-10 CodesD02.1

D02.1

Billable

Carcinoma in situ of trachea

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

Code Description

ICD-10 D02.1 is a billable code used to indicate a diagnosis of carcinoma in situ of trachea.

Key Diagnostic Point:

Carcinoma in situ of the trachea refers to a localized form of cancer where abnormal cells are present in the epithelial layer of the trachea but have not invaded deeper tissues or metastasized to other parts of the body. This condition is characterized by the presence of atypical cells that have the potential to develop into invasive cancer if left untreated. Diagnosis typically involves imaging studies, such as CT scans, and may be confirmed through bronchoscopy and biopsy. The management of carcinoma in situ often includes surgical intervention, such as resection of the affected area, and close surveillance to monitor for any signs of progression. The prognosis is generally favorable with appropriate treatment, but ongoing monitoring is essential due to the risk of progression to invasive carcinoma.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other respiratory tract neoplasms
  • Need for precise documentation of biopsy results
  • Potential for progression to invasive cancer requiring careful monitoring
  • Variability in treatment protocols based on patient health and tumor characteristics

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to document surveillance protocols
  • Misclassification of the tumor stage
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Management of patients post-surgery, monitoring for recurrence.

Billing Considerations

Ensure accurate staging and grading of the carcinoma.

Pulmonology

Documentation Requirements

Pulmonary function tests, imaging studies, and clinical assessments.

Common Clinical Scenarios

Evaluation of respiratory symptoms and lung function post-diagnosis.

Billing Considerations

Document any respiratory complications or comorbidities.

Coding Guidelines

Inclusion Criteria

Use D02.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is confirmed through appropriate clinical documentation
  • Include any relevant findings from imaging or biopsy reports

Exclusion Criteria

Do NOT use D02.1 When
  • Exclude conditions that do not meet the criteria for carcinoma in situ

Related ICD-10 Codes

Related CPT Codes

31625CPT Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic

Clinical Scenario

Used for initial diagnosis and surveillance of carcinoma in situ.

Documentation Requirements

Document indications for bronchoscopy and findings.

Specialty Considerations

Pulmonologists should ensure thorough documentation 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 cancer registries and treatment tracking. This specificity aids in better patient management and research outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of cancer registries and treatment tracking. This specificity aids in better patient management and research outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of cancer registries and treatment tracking. This specificity aids in better patient management and research outcomes.

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 prognosis for carcinoma in situ of the trachea?

The prognosis for carcinoma in situ of the trachea is generally favorable with appropriate treatment, but ongoing surveillance is crucial due to the risk of progression to invasive cancer.