Carcinoma in situ of bronchus and lung
ICD-10 D02.2 is a billable code used to indicate a diagnosis of carcinoma in situ of bronchus and lung.
Carcinoma in situ of the bronchus and lung refers to a localized form of lung cancer where abnormal cells are present in the lining of the bronchus or lung but have not invaded deeper tissues or spread to other parts of the body. This condition is characterized by the presence of neoplastic cells that exhibit malignant characteristics but remain confined to the site of origin. Early detection is crucial, as carcinoma in situ can progress to invasive lung cancer if left untreated. Patients may be asymptomatic or present with nonspecific respiratory symptoms. Surveillance protocols typically involve regular imaging studies, such as chest X-rays or CT scans, and bronchoscopy for direct visualization and biopsy of suspicious lesions. The risk of progression to invasive carcinoma varies based on factors such as the size of the lesion, histological subtype, and patient risk factors, including smoking history and genetic predisposition. Management may include surgical resection, radiation therapy, or active surveillance, depending on the individual case.
Detailed pathology reports, imaging studies, and treatment plans must be documented.
Patients diagnosed with carcinoma in situ undergoing surveillance or treatment.
Ensure accurate staging and grading of the tumor to guide treatment decisions.
Pulmonary function tests, imaging results, and clinical notes regarding respiratory symptoms.
Patients presenting with respiratory symptoms and requiring bronchoscopy for diagnosis.
Document any co-existing lung diseases that may affect treatment options.
Used for diagnosis and biopsy of suspected carcinoma in situ.
Document indications for bronchoscopy, findings, and any biopsies performed.
Pulmonologists should ensure thorough documentation of the procedure and findings.
Carcinoma in situ is a localized cancer that has not invaded surrounding tissues, while invasive carcinoma has spread beyond the original site, requiring different treatment approaches and coding.