Carcinoma in situ of skin of trunk
ICD-10 D04.5 is a billable code used to indicate a diagnosis of carcinoma in situ of skin of trunk.
Carcinoma in situ (CIS) of the skin of the trunk refers to a localized form of skin cancer where abnormal cells are present but have not invaded deeper tissues or metastasized. This condition is characterized by atypical keratinocytes confined to the epidermis, which can arise from various skin types and is often associated with sun exposure, fair skin, and a history of skin lesions. The trunk includes the torso, encompassing the chest and abdomen, and is a common site for such lesions. Early detection and treatment are crucial, as untreated CIS can progress to invasive squamous cell carcinoma (SCC). Surveillance protocols typically involve regular skin examinations, patient education on sun protection, and monitoring for changes in existing lesions. The risk of progression to invasive cancer varies based on factors such as lesion size, histological subtype, and patient demographics. Effective management often includes surgical excision, topical chemotherapy, or photodynamic therapy, depending on the lesion's characteristics and patient preferences.
Detailed descriptions of lesions, treatment plans, and follow-up care.
Diagnosis and treatment of skin lesions, routine skin checks, and management of high-risk patients.
Ensure accurate documentation of lesion size, location, and histological findings.
Comprehensive treatment plans, including surgical and non-surgical interventions.
Management of skin cancers, including follow-up after excision and monitoring for recurrence.
Documenting the rationale for treatment choices and patient education on skin cancer risks.
Used when excising a carcinoma in situ lesion on the trunk.
Document the size of the lesion and the margins of excision.
Dermatologists should ensure clear documentation of the lesion's characteristics.
Carcinoma in situ refers to cancer cells that have not invaded surrounding tissues, while invasive carcinoma has spread beyond the original site. Accurate coding requires clear documentation of the lesion's characteristics.
