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ICD-10 Guide
ICD-10 CodesD07.6

D07.6

Billable

Carcinoma in situ of other and unspecified male genital organs

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

Code Description

ICD-10 D07.6 is a billable code used to indicate a diagnosis of carcinoma in situ of other and unspecified male genital organs.

Key Diagnostic Point:

Carcinoma in situ (CIS) of the male genital organs refers to a localized form of cancer that has not invaded surrounding tissues. This condition is characterized by abnormal cells that are confined to the epithelial layer of the genital organs, which may include the penis, scrotum, and other unspecified areas. The diagnosis of carcinoma in situ is critical as it indicates a pre-invasive stage of cancer, which has the potential to progress to invasive cancer if left untreated. Surveillance protocols typically involve regular monitoring through physical examinations, imaging studies, and possibly biopsies to assess any changes in the cellular structure. The risk of progression to invasive carcinoma varies based on factors such as the specific site of the carcinoma, histological type, and patient demographics. Early detection and intervention are essential to prevent progression and improve patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation practices across specialties
  • Need for precise anatomical localization
  • Differentiation from other malignancies
  • Potential for misclassification with benign conditions

Audit Risk Factors

  • Inadequate documentation of the diagnosis
  • Failure to specify the anatomical site
  • Lack of follow-up documentation
  • Misinterpretation of biopsy results

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of the diagnosis, treatment plan, and follow-up care is essential.

Common Clinical Scenarios

Diagnosis of CIS during routine examinations, management of abnormal biopsy results.

Billing Considerations

Urologists must ensure clear communication of the anatomical site and histological findings.

Oncology

Documentation Requirements

Comprehensive treatment plans, including surgical and non-surgical options, must be documented.

Common Clinical Scenarios

Management of patients with CIS undergoing surveillance or treatment.

Billing Considerations

Oncologists should document the rationale for treatment decisions and any changes in the patient's condition.

Coding Guidelines

Inclusion Criteria

Use D07.6 When
  • According to ICD
  • 10 coding guidelines, D07
  • 6 should be used when carcinoma in situ is confirmed and the specific site is not documented
  • Coders must ensure that the diagnosis is supported by appropriate clinical documentation

Exclusion Criteria

Do NOT use D07.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55899CPT Code

Unlisted procedure, male genital system

Clinical Scenario

Used when performing a procedure related to the management of carcinoma in situ.

Documentation Requirements

Detailed operative notes and pathology reports are required.

Specialty Considerations

Urologists must ensure that the procedure is clearly linked to the diagnosis of carcinoma in situ.

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 patient care through better tracking of disease progression.

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 patient care through better tracking of disease progression.

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 patient care through better tracking of disease progression.

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 carcinoma in situ?

Carcinoma in situ is a localized form of cancer where abnormal cells are present but have not invaded surrounding tissues. It is considered a pre-invasive stage of cancer.

How is carcinoma in situ diagnosed?

Diagnosis typically involves a biopsy of the affected area, followed by histological examination to confirm the presence of atypical cells.

What are the risks associated with carcinoma in situ?

The primary risk is progression to invasive cancer if left untreated. Regular surveillance and timely intervention are crucial to mitigate this risk.