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ICD-10 Guide
ICD-10 CodesD07.60

D07.60

Billable

Carcinoma in situ of unspecified male genital organs

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

Code Description

ICD-10 D07.60 is a billable code used to indicate a diagnosis of carcinoma in situ of unspecified male genital organs.

Key Diagnostic Point:

Carcinoma in situ (CIS) of unspecified male genital organs refers to a localized form of cancer where abnormal cells are present but have not invaded surrounding tissues. This condition is often asymptomatic and may be discovered incidentally during routine examinations or biopsies. The male genital organs include the penis, scrotum, and testicles, but when unspecified, it indicates that the exact site of the carcinoma has not been determined. Surveillance protocols for CIS typically involve regular monitoring through physical examinations, imaging studies, and possibly repeat biopsies to assess for progression to invasive cancer. The risk of progression to invasive carcinoma varies based on factors such as the histological type of the carcinoma, patient age, and overall health. Early detection and intervention are crucial, as timely treatment can significantly improve outcomes and reduce the risk of metastasis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Unspecified site can lead to ambiguity in documentation.
  • Requires understanding of carcinoma in situ versus invasive carcinoma.
  • Potential overlap with other codes for male genital cancers.
  • Need for precise documentation to support diagnosis and treatment.

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed pathology reports, imaging studies, and clinical notes regarding the patient's history and physical examination.

Common Clinical Scenarios

Routine surveillance of patients with a history of CIS, management of abnormal findings on biopsy.

Billing Considerations

Urologists must ensure that all findings are clearly documented to support the diagnosis of carcinoma in situ.

Oncology

Documentation Requirements

Comprehensive treatment plans, follow-up notes, and any surgical reports if applicable.

Common Clinical Scenarios

Assessment of progression from CIS to invasive cancer, treatment planning.

Billing Considerations

Oncologists should document the rationale for surveillance protocols and any changes in the patient's condition.

Coding Guidelines

Inclusion Criteria

Use D07.60 When
  • According to ICD
  • 10 coding guidelines, D07
  • 60 should be used when the carcinoma in situ is confirmed but the specific site is not documented
  • Coders should ensure that the diagnosis is supported by pathology reports and clinical documentation

Exclusion Criteria

Do NOT use D07.60 When
  • Exclusion criteria include cases where the carcinoma has progressed to invasive cancer

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination, surgical

Clinical Scenario

Used when a biopsy is performed to confirm carcinoma in situ.

Documentation Requirements

Pathology report must clearly indicate the diagnosis of carcinoma in situ.

Specialty Considerations

Urologists and oncologists should ensure that the pathology findings are linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of conditions like carcinoma in situ, improving the accuracy of diagnoses and treatment plans. D07.60 provides a clear code for unspecified cases, which helps in tracking and managing patient care effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of conditions like carcinoma in situ, improving the accuracy of diagnoses and treatment plans. D07.60 provides a clear code for unspecified cases, which helps in tracking and managing patient care effectively.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of conditions like carcinoma in situ, improving the accuracy of diagnoses and treatment plans. D07.60 provides a clear code for unspecified cases, which helps in tracking and managing patient care effectively.

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 does carcinoma in situ mean?

Carcinoma in situ refers to a localized cancer that has not invaded surrounding tissues. It is considered a precancerous condition that requires monitoring and potential treatment.

How is carcinoma in situ diagnosed?

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

What are the risks associated with carcinoma in situ?

While carcinoma in situ is not immediately life-threatening, there is a risk of progression to invasive cancer if not monitored and treated appropriately.

What is the importance of surveillance for carcinoma in situ?

Regular surveillance is crucial to detect any changes in the condition that may indicate progression to invasive cancer, allowing for timely intervention.