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v1.0.0
ICD-10 Guide
ICD-10 CodesC53.8

C53.8

Billable

Malignant neoplasm of overlapping sites of cervix uteri

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

Code Description

ICD-10 C53.8 is a billable code used to indicate a diagnosis of malignant neoplasm of overlapping sites of cervix uteri.

Key Diagnostic Point:

C53.8 refers to malignant neoplasms that arise from overlapping sites of the cervix uteri, which may include areas affected by squamous cell carcinoma, adenocarcinoma, or other histological types. This code is used when the specific site of the malignancy cannot be determined or when the tumor involves multiple regions of the cervix. The cervix is a critical part of the female reproductive system, and malignancies here can lead to significant morbidity and mortality. Diagnosis typically involves a combination of pelvic examinations, Pap smears, colposcopy, and biopsy. Staging of cervical cancer is crucial for determining treatment options and prognosis, often utilizing the FIGO staging system. CA-125, a tumor marker, may be elevated in cases of advanced cervical cancer, although it is not specific to cervical malignancies. Treatment approaches may include surgery, radiation therapy, and chemotherapy, depending on the stage and histological type of the cancer.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Overlap of multiple sites complicates coding.
  • Variability in histological types requires careful documentation.
  • Staging information is essential for accurate coding.
  • Potential for concurrent conditions affecting coding.

Audit Risk Factors

  • Insufficient documentation of tumor type and site.
  • Inaccurate staging information.
  • Failure to document concurrent conditions.
  • Lack of clarity in pathology reports.

Specialty Focus

Medical Specialties

Gynecologic Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and treatment planning for cervical cancer, staging evaluations.

Billing Considerations

Ensure all tumor markers and staging details are documented to support coding.

Radiology

Documentation Requirements

Imaging reports that detail the extent of disease and any overlapping sites.

Common Clinical Scenarios

Imaging for staging and follow-up of cervical malignancies.

Billing Considerations

Clear descriptions of findings related to the cervix are essential for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C53.8 When
  • According to the ICD
  • CM coding guidelines, C53
  • 8 should be used when the specific site of the malignant neoplasm cannot be determined or when multiple sites are involved
  • Coders should ensure that documentation supports the diagnosis and includes staging information

Exclusion Criteria

Do NOT use C53.8 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed for treatment of cervical cancer with overlapping sites.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecologic oncologists should ensure clear documentation of tumor involvement.

88305CPT Code

Pathology examination, surgical

Clinical Scenario

Used for biopsy specimens from overlapping sites of the cervix.

Documentation Requirements

Pathology report must specify the tumor type and site.

Specialty Considerations

Pathologists should provide detailed descriptions to support coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervical malignancies, including the ability to capture overlapping sites, which was less precise in ICD-9. This specificity aids in better tracking of treatment outcomes and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervical malignancies, including the ability to capture overlapping sites, which was less precise in ICD-9. This specificity aids in better tracking of treatment outcomes and resource allocation.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Cancer Society - Cervical Cancer
  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Coding & Billing References

  • •
    American Cancer Society - Cervical Cancer
  • •
    National Comprehensive Cancer Network (NCCN) Guidelines

Frequently Asked Questions

What is the significance of using C53.8?

C53.8 is significant as it captures cases of cervical cancer that involve overlapping sites, which can impact treatment decisions and prognosis. Accurate coding is essential for appropriate management and tracking of outcomes.

How does staging affect the coding of C53.8?

Staging is crucial as it determines the extent of the disease and influences treatment options. Coders must ensure that staging information is documented to support the use of C53.8.