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ICD-10 Guide
ICD-10 CodesD06.7

D06.7

Billable

Carcinoma in situ of other parts of cervix

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

Code Description

ICD-10 D06.7 is a billable code used to indicate a diagnosis of carcinoma in situ of other parts of cervix.

Key Diagnostic Point:

Carcinoma in situ of the cervix refers to a localized form of cervical cancer where abnormal cells are found in the lining of the cervix but have not invaded deeper tissues. This condition is often detected through routine Pap smears or HPV testing. The term 'other parts of cervix' indicates that the carcinoma is not located in the endocervical canal or the ectocervix, which are more commonly referenced in other codes. Surveillance protocols typically involve regular gynecological examinations, Pap tests, and HPV testing to monitor for any progression to invasive cancer. The risk of progression from carcinoma in situ to invasive cervical cancer varies, with studies indicating that untreated cases can progress in approximately 30% of patients over a 30-year period. Early detection and treatment are crucial to prevent this progression, and management may include surgical options such as conization or hysterectomy, depending on the patient's age, health status, and desire for future fertility.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation between types of cervical carcinoma in situ
  • Need for precise documentation of the location of the carcinoma
  • Understanding of surveillance protocols and treatment options
  • Potential for progression to invasive cancer requiring careful monitoring

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to document follow-up care and surveillance
  • Misclassification of the type of carcinoma in situ
  • Lack of clarity on treatment decisions

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up notes are essential for accurate coding.

Common Clinical Scenarios

Routine screenings leading to diagnosis, management of abnormal Pap results, and treatment planning.

Billing Considerations

Ensure that all findings from colposcopy and biopsy are clearly documented to support the diagnosis.

Oncology

Documentation Requirements

Comprehensive treatment records, including surgical notes and follow-up care.

Common Clinical Scenarios

Management of patients with a history of cervical carcinoma in situ and monitoring for recurrence.

Billing Considerations

Documentation must reflect the multidisciplinary approach to treatment and follow-up.

Coding Guidelines

Inclusion Criteria

Use D06.7 When
  • According to ICD
  • CM guidelines, D06
  • 7 should be used when carcinoma in situ is confirmed through biopsy and is specifically located in parts of the cervix not classified under other codes
  • It is important to document the specific site and any relevant treatment history

Exclusion Criteria

Do NOT use D06.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88141CPT Code

Cervical cytology, automated

Clinical Scenario

Used during routine screening for cervical cancer.

Documentation Requirements

Documentation of the reason for the test and results.

Specialty Considerations

Gynecologists should ensure that the results are clearly linked to the diagnosis.

57500CPT Code

Conization of cervix

Clinical Scenario

Performed when carcinoma in situ is diagnosed.

Documentation Requirements

Surgical notes and pathology results must be documented.

Specialty Considerations

Oncologists should document the extent of the disease and treatment plan.

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 tracking. D06.7 provides a distinct code for cases that do not fit into the more commonly known categories, enhancing clinical understanding and management.

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 tracking. D06.7 provides a distinct code for cases that do not fit into the more commonly known categories, enhancing clinical understanding and management.

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 tracking. D06.7 provides a distinct code for cases that do not fit into the more commonly known categories, enhancing clinical understanding and management.

Resources

Clinical References

  • •
    American College of Obstetricians and Gynecologists (ACOG)
  • •
    Centers for Disease Control and Prevention (CDC) - Cervical Cancer

Coding & Billing References

  • •
    American College of Obstetricians and Gynecologists (ACOG)
  • •
    Centers for Disease Control and Prevention (CDC) - Cervical Cancer

Frequently Asked Questions

What is the significance of carcinoma in situ of the cervix?

Carcinoma in situ is a critical diagnosis as it indicates the presence of abnormal cells that have not invaded surrounding tissues. Early detection and treatment are essential to prevent progression to invasive cervical cancer.

How often should patients with D06.7 be monitored?

Patients diagnosed with carcinoma in situ should undergo regular follow-up examinations, including Pap tests and HPV testing, typically every 6 to 12 months, depending on the treatment received and clinical guidelines.