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v1.0.0
ICD-10 Guide
ICD-10 CodesD07.61

D07.61

Billable

Carcinoma in situ of scrotum

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

Code Description

ICD-10 D07.61 is a billable code used to indicate a diagnosis of carcinoma in situ of scrotum.

Key Diagnostic Point:

Carcinoma in situ of the scrotum refers to a localized form of cancer that is confined to the scrotal tissue without invasion into surrounding structures. This condition is characterized by abnormal cells that have the potential to develop into invasive cancer if left untreated. The most common type of carcinoma in situ found in the scrotum is squamous cell carcinoma, often associated with chronic irritation or inflammation, such as from poor hygiene or exposure to carcinogenic substances. Diagnosis typically involves a biopsy of the affected area, and treatment options may include surgical excision, topical chemotherapy, or photodynamic therapy. Surveillance protocols are critical for monitoring progression, as the risk of developing invasive cancer increases over time. Regular follow-up examinations and imaging studies may be recommended to ensure early detection of any changes in the scrotal tissue. The prognosis is generally favorable with appropriate management, but vigilance is necessary due to the potential for progression to invasive disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other skin lesions
  • Need for precise documentation of biopsy results
  • Potential for multiple treatment modalities
  • Variability in clinical presentation

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to document follow-up care
  • Misclassification of invasive vs. non-invasive lesions
  • Lack of clarity in treatment plans

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of clinical findings, biopsy results, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of scrotal lesions, follow-up after treatment.

Billing Considerations

Ensure accurate coding of any associated conditions or complications.

Dermatology

Documentation Requirements

Comprehensive skin examination notes, including descriptions of lesions and biopsy details.

Common Clinical Scenarios

Management of skin cancers, including in situ lesions.

Billing Considerations

Document any prior treatments or interventions that may affect coding.

Coding Guidelines

Inclusion Criteria

Use D07.61 When
  • According to ICD
  • 10 guidelines, D07
  • 61 should be used when the carcinoma is confirmed as in situ and localized to the scrotum
  • It is important to document the specific site and any relevant treatment history

Exclusion Criteria

Do NOT use D07.61 When
  • Exclusion criteria include any invasive carcinoma or lesions not confined to the scrotum

Related ICD-10 Codes

Related CPT Codes

11600CPT Code

Excision, malignant skin lesion, excised diameter excised 0.5 cm or less

Clinical Scenario

Used when excising a carcinoma in situ of the scrotum.

Documentation Requirements

Document the size of the lesion and the margins of excision.

Specialty Considerations

Urologists and dermatologists should ensure accurate coding based on the excised diameter.

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 reimbursement processes. D07.61 provides a clear distinction from invasive cancers, which is crucial for treatment planning and surveillance.

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 reimbursement processes. D07.61 provides a clear distinction from invasive cancers, which is crucial for treatment planning and surveillance.

Reimbursement & Billing Impact

reimbursement processes. D07.61 provides a clear distinction from invasive cancers, which is crucial for treatment planning and surveillance.

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 of the scrotum?

Carcinoma in situ of the scrotum is significant as it indicates the presence of abnormal cells that have not invaded surrounding tissues. Early detection and treatment are crucial to prevent progression to invasive cancer.