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ICD-10 Guide
ICD-10 CodesD07.30

D07.30

Billable

Carcinoma in situ of unspecified female genital organs

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

Code Description

ICD-10 D07.30 is a billable code used to indicate a diagnosis of carcinoma in situ of unspecified female genital organs.

Key Diagnostic Point:

Carcinoma in situ (CIS) of unspecified female genital organs refers to a localized cancerous condition where abnormal cells are found in the lining of the female genital tract but have not invaded deeper tissues. This condition is often asymptomatic and may be detected during routine gynecological examinations or screenings. The term 'unspecified' indicates that the exact location of the carcinoma in situ within the female genital organs is not documented, which can include the cervix, vagina, vulva, or other areas. Early detection is crucial as carcinoma in situ has the potential to progress to invasive cancer if left untreated. Surveillance protocols typically involve regular Pap smears, HPV testing, and follow-up examinations to monitor for any changes in the cellular structure. Treatment options may include surgical excision, laser therapy, or close observation, depending on the patient's risk factors and preferences. The prognosis for carcinoma in situ is generally favorable with appropriate management, but ongoing surveillance is essential to mitigate the risk of progression to invasive disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified location can lead to ambiguity in coding.
  • Requires thorough documentation to justify the diagnosis.
  • Potential overlap with other codes for similar conditions.
  • Need for precise clinical details to differentiate from invasive cancers.

Audit Risk Factors

  • Inadequate documentation of the diagnosis.
  • Failure to specify the location of the carcinoma.
  • Lack of follow-up documentation for surveillance.
  • Inconsistent coding practices among providers.

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed pathology reports, biopsy results, and treatment plans.

Common Clinical Scenarios

Routine screenings revealing abnormal cells, follow-up after treatment for CIS.

Billing Considerations

Ensure clear documentation of the site and nature of the carcinoma to avoid coding errors.

Oncology

Documentation Requirements

Comprehensive treatment history, staging information, and follow-up care documentation.

Common Clinical Scenarios

Management of patients post-excision of CIS, monitoring for recurrence.

Billing Considerations

Accurate coding is critical for treatment planning and insurance reimbursement.

Coding Guidelines

Inclusion Criteria

Use D07.30 When
  • According to ICD
  • 10 coding guidelines, D07
  • 30 should be used when carcinoma in situ is confirmed but the specific site is not documented
  • Coders should ensure that the diagnosis is supported by appropriate clinical documentation and that the condition is not classified as invasive cancer

Exclusion Criteria

Do NOT use D07.30 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88141CPT Code

Cytopathology, cervical or vaginal (Pap smear)

Clinical Scenario

Used during routine screenings for carcinoma in situ.

Documentation Requirements

Document the reason for the Pap smear and any findings.

Specialty Considerations

Gynecologists should ensure accurate coding based on cytology results.

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 conditions. D07.30 provides a means to capture cases where the site is not specified, which can help in understanding the epidemiology of these conditions.

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 conditions. D07.30 provides a means to capture cases where the site is not specified, which can help in understanding the epidemiology of these conditions.

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 conditions. D07.30 provides a means to capture cases where the site is not specified, which can help in understanding the epidemiology of these conditions.

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 a critical diagnosis as it indicates the presence of abnormal cells that have not yet invaded surrounding tissues. Early detection and treatment can prevent progression to invasive cancer, making surveillance and accurate coding essential.