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ICD-10 Guide
ICD-10 CodesD07.0

D07.0

Billable

Carcinoma in situ of endometrium

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

Code Description

ICD-10 D07.0 is a billable code used to indicate a diagnosis of carcinoma in situ of endometrium.

Key Diagnostic Point:

Carcinoma in situ of the endometrium refers to a localized form of cancer where abnormal cells are found in the lining of the uterus (endometrium) but have not invaded deeper tissues or spread to other parts of the body. This condition is often asymptomatic and may be discovered incidentally during routine gynecological examinations or imaging studies. Risk factors include age, obesity, prolonged estrogen exposure, and a history of endometrial hyperplasia. Surveillance protocols typically involve regular pelvic examinations, transvaginal ultrasounds, and endometrial biopsies to monitor for progression to invasive cancer. The prognosis for carcinoma in situ is generally favorable, with a high rate of successful treatment when detected early. However, there is a risk of progression to invasive carcinoma, particularly in patients with underlying risk factors. Therefore, close monitoring and timely intervention are crucial to prevent disease advancement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between carcinoma in situ and invasive carcinoma
  • Need for precise documentation of biopsy results
  • Variability in clinical presentation and symptoms
  • Potential for co-existing conditions affecting coding

Audit Risk Factors

  • Inadequate documentation of biopsy results
  • Failure to document follow-up care and surveillance
  • Misclassification of in situ versus invasive carcinoma
  • Lack of clarity in patient history regarding risk factors

Specialty Focus

Medical Specialties

Gynecology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Routine screenings, abnormal uterine bleeding, and follow-up after biopsy.

Billing Considerations

Ensure accurate staging and grading of the carcinoma in situ.

Oncology

Documentation Requirements

Comprehensive treatment records, including surgical notes and chemotherapy regimens.

Common Clinical Scenarios

Management of patients post-diagnosis and during surveillance.

Billing Considerations

Coordination with gynecologists for multidisciplinary care.

Coding Guidelines

Inclusion Criteria

Use D07.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any relevant patient history
  • Include specific details about the biopsy results and any follow
  • up care

Exclusion Criteria

Do NOT use D07.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58100CPT Code

Total abdominal hysterectomy

Clinical Scenario

Performed for treatment of carcinoma in situ when indicated.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Ensure coordination between gynecology and oncology for comprehensive 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 carcinoma in situ of the endometrium?

Carcinoma in situ indicates that cancerous cells are present but have not invaded surrounding tissues. Early detection and treatment are crucial to prevent progression to invasive cancer.