what is the icd 10 code for cervical cancer

by Pasquale Conroy 8 min read

Cervical cancer (ICD-10 code C53, cervix uteri) is a type of cancer that occurs in the cells of the cervix.

Malignant neoplasm of cervix uteri, unspecified
C53. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C53. 9 became effective on October 1, 2021.

Full Answer

What ICD 10 cm code(s) are reported?

Oct 01, 2021 · Malignant neoplasm of cervix uteri, unspecified. C53.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C53.9 became effective on October 1, 2021.

What is the CPT code for cervical cancer?

Oct 01, 2021 · Encounter for screening for malignant neoplasm of cervix. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. Z12.4 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z12.4 became effective on October 1, 2021.

What is the diagnosis code for cancer?

Oct 01, 2021 · Personal history of malignant neoplasm of cervix uteri. 2016 2017 2018 2019 2020 2021 2022 Billable/Specific Code POA Exempt. Z85.41 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z85.41 became effective on October 1, 2021.

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What does diagnosis Z12 4 mean?

Z12.4. Encounter for screening for malignant neoplasm of cervix.

What code is Z12 39?

39 (Encounter for other screening for malignant neoplasm of breast). Z12. 39 is the correct code to use when employing any other breast cancer screening technique (besides mammogram) and is generally used with breast MRIs.Mar 15, 2020

What is the ICD-10 code for CIN III?

The appropriate ICD-9-CM code is 233.1 (CIN III/CIS/Severe Dysplasia). The appropriate ICD-10-CM code is D06.Feb 8, 2019

What is the Z12?

ICD-10 code Z12 for Encounter for screening for malignant neoplasms is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is code R92 8?

2022 ICD-10-CM Diagnosis Code R92. 8: Other abnormal and inconclusive findings on diagnostic imaging of breast.

What does code Z12 11 mean?

A screening colonoscopy should be reported with the following International Classification of Diseases, 10th edition (ICD-10) codes: Z12. 11: Encounter for screening for malignant neoplasm of the colon.May 1, 2016

What is ICD-10 code for carcinoma in situ of the cervix?

D06.9
Carcinoma in situ of cervix, unspecified

D06. 9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

What is the ICD-10 code for CIN 2?

2022 ICD-10-CM Diagnosis Code N87. 1: Moderate cervical dysplasia.

What is diagnosis code D06 9?

Carcinoma in situ
9: Carcinoma in situ: Cervix uteri, unspecified.

What does the code Z12 31 mean?

The proper diagnosis code to report would be Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast. The Medicare deductible and co-pay/coinsurance are waived for this service.

What does z1231 mean?

Z12. 31, Encounter for screening mammogram for malignant neoplasm of breast, is the primary diagnosis code assigned for a screening mammogram. If the mammogram is diagnostic, the ICD-10-CM code assigned is the reason the diagnostic mammogram was performed.Mar 13, 2019

What does Z12 31 mean?

Z12. 31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Encntr screen mammogram for malignant neoplasm of breast. The 2022 edition of ICD-10-CM Z12. 31 became effective on October 1, 2021.

What is the cause of cervical cancer?

The cervix is the lower part of the uterus, the place where a baby grows during pregnancy. Cervical cancer is caused by a virus called hpv. The virus spreads through sexual contact. Most women's bodies are able to fight hpv infection. But sometimes the virus leads to cancer.

What is a type 1 exclude note?

A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. D06.-) Primary or metastatic malignant neoplasm involving the cervix. The cervix is the lower part of the uterus, the place where a baby grows during pregnancy.

What is the Z85 code for a primary malignancy?

When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy at that site, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy. Any mention of extension, invasion, or metastasis to another site is coded as a secondary malignant neoplasm to that site. The secondary site may be the principal or first-listed with the Z85 code used as a secondary code.

What is the code for a malignant neoplasm?

Assign first the appropriate code from category T86.-, Complications of transplanted organs and tissue, followed by code C80.2, Malignant neoplasm associated with transplanted organ. Use an additional code for the specific malignancy.

What is Chapter 2 of the ICD-10-CM?

Chapter 2 of the ICD-10-CM contains the codes for most benign and all malignant neoplasms. Certain benign neoplasms , such as prostatic adenomas, may be found in the specific body system chapters. To properly code a neoplasm, it is necessary to determine from the record if the neoplasm is benign, in-situ, malignant, or of uncertain histologic behavior. If malignant, any secondary ( metastatic) sites should also be determined.

Can a primary malignancy be replaced by a secondary malignancy?

Symptoms, signs, and ill-defined conditions listed in Chapter 18 characteristic of, or associated with, an existing primary or secondary site malignancy cannot be used to replace the malignancy as principal or first-listed diagnosis, regardless of the number of admissions or encounters for treatment and care of the neoplasm.

What is C80.0 code?

Code C80.0, Disseminated malignant neoplasm, unspecified, is for use only in those cases where the patient has advanced metastatic disease and no known primary or secondary sites are specified. It should not be used in place of assigning codes for the primary site and all known secondary sites.

What is C80.1?

Code C80.1, Malignant ( primary) neoplasm, unspecified, equates to Cancer, unspecified. This code should only be used when no determination can be made as to the primary site of a malignancy. This code should rarely be used in the inpatient setting.

When should a primary malignancy code be used?

When a primary malignancy has been excised but further treatment, such as an additional surgery for the malignancy, radiation therapy or chemotherapy is directed to that site, the primary malignancy code should be used until treatment is completed.

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

CMS National Coverage Policy

Title XVIII of the Social Security Act, Section 1833 (e) states that no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period..

Article Guidance

It has come to our attention that services submitted for screening for cervical cancer with Human Papillomavirus (HPV) Testing have been reported incorrectly. This Billing and Coding Article provides billing and coding guidance for these services.

ICD-10-CM Codes that Support Medical Necessity

It is the provider’s responsibility to select codes carried out to the highest level of specificity and selected from the ICD-10-CM code book appropriate to the year in which the service is rendered for the claim (s) submitted.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

Why don't women get cervical cancer?

However, many women do not undergo cervical cancer screening for the following reasons: fear, shame, physical limitations, cultural or religious considerations and lack of access to health care services.

Which genotype is associated with the highest risk of cervical cancer?

Human Papillomavirus (HPV) Genotyping in Cervical Cancer Screening. Bonde and colleagues (2020) stated that 13 HPV genotypes are associated with the highest risk of cervical disease/cancer; however, the risk of disease progression and cancer is genotype-dependent.

Can a Pap test detect cancer?

It can detect precancerous changes or cancer of the cervix or vagina. A Pap test will only rarely detect cancer of the ovaries or endometrial cancer. It can also find some infections of the cervix and vagina.

What is Luma cervical imaging?

The Luma cervical imaging system (MediSpectra, Inc., Lexington, MA) is an optical detection system approved by the FDA in March, 2006 as an adjunct to colposcopy to identify areas of the cervix with the highest likelihood of high-grade CIN on biopsy . The Luma system shines a light on the cervix and analyzes how different areas of the cervix respond to the light. The system produces a color map that distinguishes between healthy and potentially diseased tissue to indicate where biopsy samples should be taken.

What is the oncofish cervical test?

According to Ikonisys Clinical Laboratories, the oncoFISH ® cervical test is a qualitative fluorescence in-situ hybridization (FISH) test for determining the acquisition of specific chromosomal aneuploidies within the 3q26 region in cytological specimens revealing LSIL. Until now, routine testing for 3q gain was not feasible because assessment required analysis of a large number of stained, squamous cell nuclei – impractical for manual methods. By using the Ikoniscope Digital Microscopy System to automate analysis, the oncoFISH cervical test makes testing for 3q gain a practical reality. The test is performed on cervico-vaginal cytology specimens, identical to those used for Pap and HPV testing. It evaluates amplification of the 3q26 region by use of 2 FISH probes, one for the 3q26 locus and a control probe. Enumeration and comparison of the 3q26 and control probes, in conjunction with the nuclear morphology, result in a 3q copy number for each of the nuclei analyzed. Results of the oncoFISH cervical test are intended for use with other clinical findings for further evaluation and monitoring of cervical dysplasia in women with LSIL Pap results. The oncoFISH cervical test is a laboratory developed test and is intended to supplement, and not replace or alter the current standards of practice used for the clinical management of women undergoing evaluation for cervical dysplastic lesions. The oncoFISH cervical test results should be considered by the clinician in the context of other testing when formulating clinical management.

Does Aetna do Pap smears?

Preventive Services Task Force (USPSTF) and the American College of Obstetricians and Gynecologists (ACOG), Aetna considers annual cervical cancer screening with conventional or liquid-based Papanicolaou (Pap) smears a medically necessary preventive service for nonhysterectomized women age 21 years and older.

Is HPV a CIN?

Human papillomavirus (HPV) has been associated with the development of CIN and invasive cancer of the cervix. Recent prospective studies have shown that abnormal Pap smears that are positive for oncogenic HPV strains are much more likely to be associated with abnormal colposcopic findings than abnormal Pap smears that are HPV negative. There is no proven value for testing for additional "low-risk" strains of HPV that have not been associated with substantially elevated cancer risk.

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