D06.0 Carcinoma in situ of endocervix

ICD10CM code

#### Name of the Condition
- **Carcinoma in situ of endocervix**  
- Also known as **Cervical intraepithelial neoplasia grade III (CIN III)**.

#### Summary
- Carcinoma in situ of the endocervix refers to a precancerous condition where abnormal cells are found on the surface of the cervix. At this stage, cells have not spread to nearby tissues.

#### Causes
- The primary cause is infection with high-risk types of human papillomavirus (HPV), particularly types 16 and 18.

#### Risk Factors
- Persistent HPV infection, early onset of sexual activity, multiple sexual partners, smoking, and a weakened immune system.

#### Symptoms
- Often asymptomatic, but possible signs include abnormal vaginal bleeding, discharge, or pelvic pain.

#### Diagnosis
- Primarily through a Pap smear and HPV testing. Confirmed with a colposcopy and a biopsy of cervical cells.

#### Treatment Options
- **Conservative Management:** Active monitoring for mild cases.
- **Surgical Procedures:** Loop electrosurgical excision procedure (LEEP), cold knife cone biopsy, or laser surgery to remove abnormal cells.
- **How it Helps:** These treatments aim to prevent the progression to invasive cervical cancer by removing the affected tissue.

#### Prognosis and Follow-Up
- With appropriate treatment, the prognosis is excellent with a high cure rate. Regular follow-ups with Pap tests are crucial to monitor for recurrence.

#### Complications
- Potential complications include progression to invasive cervical cancer, fertility issues from surgical treatments, and emotional distress.

#### Lifestyle & Prevention
- Routine HPV vaccination, regular cervical screening, practicing safe sex, and smoking cessation can reduce the risk.

#### When to Seek Professional Help
- Seek medical attention for unusual vaginal bleeding, new or unusual discharge, or pelvic pain.

#### Additional Resources
- **American Cancer Society:** [cancer.org](https://www.cancer.org)  
- **National Cervical Cancer Coalition:** [nccc-online.org](https://www.nccc-online.org)

#### Tips for Medical Coders
- Ensure accurate coding by confirming the specific site as "endocervix" (D06.0).
- Avoid common coding errors such as confusing carcinoma in situ with invasive cancer, which have different codes.

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