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v1.0.0
ICD-10 Guide
ICD-10 CodesD06.0

D06.0

Billable

Carcinoma in situ of endocervix

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

Code Description

ICD-10 D06.0 is a billable code used to indicate a diagnosis of carcinoma in situ of endocervix.

Key Diagnostic Point:

Carcinoma in situ of the endocervix refers to a localized form of cervical cancer where abnormal cells are found in the lining of the endocervix but have not invaded deeper tissues or spread to other parts of the body. This condition is often detected through routine Pap smears or HPV testing, which can identify precancerous changes in cervical cells. The diagnosis of carcinoma in situ indicates that the cells are abnormal and have the potential to develop into invasive cancer if left untreated. Surveillance protocols typically involve regular follow-up examinations, including Pap tests and HPV testing, to monitor for any progression of the disease. Treatment options may include excisional procedures such as LEEP (Loop Electrosurgical Excision Procedure) or conization, which aim to remove the affected tissue. The risk of progression to invasive cervical cancer is significant, particularly if the carcinoma in situ is not managed appropriately, making early detection and intervention crucial.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between carcinoma in situ and invasive carcinoma
  • Understanding the nuances of cervical cancer staging
  • Documentation of histological findings
  • Variability in treatment protocols

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to document follow-up care plans
  • Misclassification of carcinoma in situ as invasive cancer
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up care notes.

Common Clinical Scenarios

Routine Pap smear results indicating abnormal cells, follow-up biopsies confirming carcinoma in situ.

Billing Considerations

Ensure accurate coding based on the specific location of the carcinoma and treatment interventions.

Oncology

Documentation Requirements

Comprehensive treatment history, including surgical interventions and ongoing surveillance.

Common Clinical Scenarios

Patients undergoing treatment for carcinoma in situ and those in surveillance post-treatment.

Billing Considerations

Documentation must reflect the patient's treatment response and any changes in diagnosis.

Coding Guidelines

Inclusion Criteria

Use D06.0 When
  • According to the official ICD
  • CM coding guidelines, carcinoma in situ of the endocervix is classified under D06
  • Coders must ensure that the diagnosis is supported by pathology reports and that any treatment interventions are documented appropriately

Exclusion Criteria

Do NOT use D06.0 When
  • Exclusion criteria include invasive cervical cancer and other cervical lesions

Related ICD-10 Codes

Related CPT Codes

57522CPT Code

Loop Electrosurgical Excision Procedure (LEEP)

Clinical Scenario

Used for treatment of diagnosed carcinoma in situ.

Documentation Requirements

Pathology report confirming diagnosis and treatment plan.

Specialty Considerations

Gynecologists must document the extent of excision and follow-up care.

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 enhancing the ability to track treatment outcomes and disease progression.

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 enhancing the ability to track treatment outcomes and disease progression.

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 enhancing the ability to track treatment outcomes and disease progression.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)

Frequently Asked Questions

What is the significance of diagnosing carcinoma in situ of the endocervix?

Diagnosing carcinoma in situ is crucial as it indicates the presence of abnormal cells that have the potential to progress to invasive cancer if not treated. Early detection and management can significantly reduce the risk of progression.