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v1.0.0
ICD-10 Guide
ICD-10 CodesD07.69

D07.69

Billable

Carcinoma in situ of other male genital organs

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

Code Description

ICD-10 D07.69 is a billable code used to indicate a diagnosis of carcinoma in situ of other male genital organs.

Key Diagnostic Point:

Carcinoma in situ (CIS) of other male genital organs refers to a localized cancerous condition where abnormal cells are found in the lining of the male genital organs, but have not invaded deeper tissues or spread to other parts of the body. This condition can occur in various sites, including the penis, scrotum, and other areas not specifically classified under more common codes. The diagnosis of carcinoma in situ is critical as it represents an early stage of cancer that has the potential to progress to invasive cancer if not monitored and treated appropriately. Surveillance protocols typically involve regular examinations, imaging studies, and possibly biopsies to assess any changes in the condition. The risk of progression to invasive cancer varies based on the specific site of the carcinoma, the patient's overall health, and the presence of any risk factors such as HPV infection or a history of dysplasia. Early detection and intervention are key to managing this condition effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of male genital organs affected
  • Need for precise documentation of the site
  • Differentiation from invasive carcinoma
  • Potential for progression to invasive cancer

Audit Risk Factors

  • Inadequate documentation of the site of carcinoma
  • Failure to document surveillance and follow-up plans
  • Misclassification as invasive carcinoma
  • Lack of clarity on the patient's risk factors

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed documentation of the diagnosis, site, and any treatment plans.

Common Clinical Scenarios

Diagnosis of CIS during routine examinations or biopsies.

Billing Considerations

Urologists must ensure thorough documentation of the patient's history and any risk factors for accurate coding.

Oncology

Documentation Requirements

Comprehensive treatment plans and follow-up care documentation.

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 D07.69 When
  • According to the official ICD
  • CM guidelines, D07
  • 69 should be used when carcinoma in situ is confirmed through biopsy and the specific site is documented
  • It is important to ensure that the diagnosis is not confused with invasive carcinoma, which would require a different code

Exclusion Criteria

Do NOT use D07.69 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

55899CPT Code

Unlisted procedure, male genital system

Clinical Scenario

Used when a specific procedure for carcinoma in situ is performed but not listed elsewhere.

Documentation Requirements

Detailed operative report and justification for the unlisted procedure.

Specialty Considerations

Urologists should provide clear rationale for the procedure to support billing.

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 treatment planning. This specificity aids in better tracking of patient outcomes and resource allocation.

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 treatment planning. This specificity aids in better tracking of patient outcomes and resource allocation.

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 treatment planning. This specificity aids in better tracking of patient outcomes and resource allocation.

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 significant because it represents an early stage of cancer that has not yet invaded surrounding tissues. Early detection and treatment can prevent progression to invasive cancer.