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ICD-10 Guide
ICD-10 CodesD02.20

D02.20

Billable

Carcinoma in situ of unspecified bronchus and lung

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

Code Description

ICD-10 D02.20 is a billable code used to indicate a diagnosis of carcinoma in situ of unspecified bronchus and lung.

Key Diagnostic Point:

Carcinoma in situ (CIS) of the bronchus and lung refers to a localized form of cancer where abnormal cells are present but have not invaded surrounding tissues. This condition is characterized by the presence of neoplastic cells confined to the epithelial layer of the bronchial or pulmonary tissues. It is crucial to identify and monitor CIS as it has the potential to progress to invasive lung cancer if left untreated. The diagnosis typically involves imaging studies, such as CT scans, and histopathological examination of biopsy samples. Patients diagnosed with CIS may be asymptomatic or present with nonspecific respiratory symptoms. Surveillance protocols often include regular imaging and pulmonary function tests to monitor for any signs of progression. The risk of progression to invasive carcinoma varies based on factors such as the size of the lesion, patient age, smoking history, and overall health. Early detection and intervention are vital for improving patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of carcinoma in situ versus invasive carcinoma
  • Need for precise staging and grading of lesions
  • Differentiation from other lung conditions
  • Potential for misclassification in coding due to overlapping symptoms

Audit Risk Factors

  • Inadequate documentation of the diagnosis
  • Failure to specify the site of carcinoma in situ
  • Lack of follow-up documentation for surveillance
  • Misinterpretation of biopsy results

Specialty Focus

Medical Specialties

Pulmonology

Documentation Requirements

Detailed documentation of imaging studies, biopsy results, and patient history.

Common Clinical Scenarios

Patients presenting with suspicious lung nodules or abnormal imaging findings.

Billing Considerations

Ensure clear documentation of the diagnosis and any treatment plans, including surveillance protocols.

Oncology

Documentation Requirements

Comprehensive cancer staging and treatment plans, including follow-up care.

Common Clinical Scenarios

Patients undergoing treatment for carcinoma in situ or those in surveillance after diagnosis.

Billing Considerations

Accurate coding of treatment modalities and monitoring protocols is essential.

Coding Guidelines

Inclusion Criteria

Use D02.20 When
  • According to the ICD
  • CM coding guidelines, carcinoma in situ is classified under specific categories based on the site of origin
  • It is essential to follow the guidelines for coding neoplasms, including the use of appropriate modifiers and additional codes for any related conditions

Exclusion Criteria

Do NOT use D02.20 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31622CPT Code

Bronchoscopy, rigid or flexible, including fluoroscopic guidance

Clinical Scenario

Used for diagnostic evaluation of lung nodules or lesions suspected to be carcinoma in situ.

Documentation Requirements

Document indication for bronchoscopy, findings, and any biopsies performed.

Specialty Considerations

Pulmonologists should ensure accurate coding based on the procedure performed and 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 ability to track and manage these cases. It has also enhanced the granularity of data for research and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the ability to track and manage these cases. It has also enhanced the granularity of data for research and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the ability to track and manage these cases. It has also enhanced the granularity of data for research and epidemiological studies.

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 significant because it represents an early stage of cancer that has not yet invaded surrounding tissues. Early detection and treatment can prevent progression to invasive cancer.