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ICD-10 Guide
ICD-10 CodesD07.39

D07.39

Billable

Carcinoma in situ of other female genital organs

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

Code Description

ICD-10 D07.39 is a billable code used to indicate a diagnosis of carcinoma in situ of other female genital organs.

Key Diagnostic Point:

Carcinoma in situ (CIS) of other 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 can occur in various sites, including the vulva, vagina, cervix, and other areas not specifically classified under more common codes. The diagnosis is typically made through biopsy and histological examination, revealing atypical cells that have not yet metastasized. Surveillance protocols often involve regular gynecological examinations, Pap smears, and possibly colposcopy, depending on the site of the carcinoma. The risk of progression to invasive cancer varies based on factors such as the specific location of the carcinoma, the patient's age, and the presence of other risk factors like HPV infection. Early detection and management are crucial to prevent progression and ensure favorable outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation requirements across specialties
  • Need for precise anatomical localization in coding
  • Differentiation from other neoplastic conditions
  • Potential for overlapping diagnoses

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to specify the site of carcinoma
  • Misclassification of invasive vs. in situ carcinoma
  • Lack of follow-up documentation for surveillance

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed pathology reports, biopsy results, and follow-up plans.

Common Clinical Scenarios

Diagnosis of carcinoma in situ during routine screenings, management of abnormal Pap results.

Billing Considerations

Ensure accurate documentation of the site and type of carcinoma for proper coding.

Oncology

Documentation Requirements

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

Common Clinical Scenarios

Referral for surgical intervention or radiation therapy after diagnosis.

Billing Considerations

Coordination with pathology for accurate reporting of findings.

Coding Guidelines

Inclusion Criteria

Use D07.39 When
  • According to the ICD
  • CM coding guidelines, D07
  • 39 should be used when carcinoma in situ is confirmed by biopsy and is not classified under other specific codes
  • It is important to document the specific site of the carcinoma and any relevant patient history

Exclusion Criteria

Do NOT use D07.39 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88141CPT Code

Cytopathology, cervical or vaginal, collected in preservative fluid

Clinical Scenario

Used during routine screening for cervical cancer.

Documentation Requirements

Documentation of the specimen collection and results.

Specialty Considerations

Gynecologists should ensure accurate coding based on the results of the cytology.

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 treatment outcomes and epidemiological trends.

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 treatment outcomes and epidemiological trends.

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 treatment outcomes and epidemiological trends.

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 difference between carcinoma in situ and invasive carcinoma?

Carcinoma in situ refers to abnormal cells that have not invaded surrounding tissues, while invasive carcinoma has spread beyond the original site into nearby tissues.