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v1.0.0
ICD-10 Guide
ICD-10 CodesD02.3

D02.3

Billable

Carcinoma in situ of other parts of respiratory system

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

Code Description

ICD-10 D02.3 is a billable code used to indicate a diagnosis of carcinoma in situ of other parts of respiratory system.

Key Diagnostic Point:

Carcinoma in situ (CIS) of the respiratory system refers to a localized form of cancer that has not invaded surrounding tissues. This condition can occur in various parts of the respiratory system, including the trachea, bronchi, and lungs, but is classified under 'other parts' when it does not fit into more specific categories. CIS is characterized by abnormal cells that have the potential to become invasive cancer if left untreated. Surveillance protocols for patients diagnosed with CIS typically involve regular imaging studies, such as CT scans, and bronchoscopy to monitor for any signs of progression. The risk of progression to invasive carcinoma varies based on factors such as the location of the carcinoma, the patient's overall health, and the presence of risk factors like smoking. Early detection and intervention are crucial in managing CIS, as timely treatment can prevent the development of invasive cancer.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of carcinoma in situ across specialties
  • Need for precise localization of the carcinoma within the respiratory system
  • Differentiation from other neoplastic conditions
  • Potential for progression to invasive cancer requiring careful monitoring

Audit Risk Factors

  • Inadequate documentation of the site of carcinoma
  • Failure to document surveillance and follow-up care
  • Misclassification of carcinoma in situ as invasive cancer
  • Inconsistent coding practices across different specialties

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients undergoing surveillance for CIS, treatment planning for localized carcinoma.

Billing Considerations

Ensure accurate staging and grading of the carcinoma.

Pulmonology

Documentation Requirements

Pulmonary function tests, imaging results, and clinical notes on respiratory symptoms.

Common Clinical Scenarios

Patients with respiratory symptoms undergoing evaluation for CIS.

Billing Considerations

Document any smoking history and risk factors that may affect prognosis.

Coding Guidelines

Inclusion Criteria

Use D02.3 When
  • According to ICD
  • 10 guidelines, D02
  • 3 should be used when the carcinoma is confirmed as in situ and localized to parts of the respiratory system not specified elsewhere
  • It is important to ensure that the diagnosis is supported by appropriate clinical documentation

Exclusion Criteria

Do NOT use D02.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

31628CPT Code

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

Clinical Scenario

Used for surveillance of CIS in the respiratory system.

Documentation Requirements

Document indications for bronchoscopy and findings.

Specialty Considerations

Oncologists and pulmonologists should ensure clear communication regarding the purpose of the procedure.

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 data collection and enhancing the ability to track outcomes and treatment effectiveness.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of data collection and enhancing the ability to track outcomes and treatment effectiveness.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of carcinoma in situ, improving the accuracy of data collection and enhancing the ability to track outcomes and treatment effectiveness.

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.