Z86.001 Personal history of in-situ neoplasm of cervix uteri

ICD10CM code

#### Name of the Condition
- Personal history of in-situ neoplasm of cervix uteri

#### Summary
- This condition refers to a previous diagnosis of a non-invasive (in-situ) type of precancerous or abnormal growth in the cervix uteri, which is still confined to the surface and has not spread to deeper tissues. It is essential to differentiate it from more advanced cervical cancers.

#### Causes
- The primary cause of in-situ neoplasm of the cervix is persistent infection with high-risk strains of human papillomavirus (HPV). Other factors such as smoking and immune system impairment can also contribute.

#### Risk Factors
- Risk factors include HPV infection, early sexual activity, multiple sexual partners, smoking, and a weakened immune system.

#### Symptoms
- In-situ neoplasm typically does not cause symptoms and is often detected through routine cervical screening (Pap smear tests).

#### Diagnosis
- Diagnosis is mainly through cervical screening tests such as Pap smears and HPV testing. A colposcopy or biopsy may be performed for further evaluation.

#### Treatment Options
- Treatment is not typically required for the personal history of in-situ neoplasm, as it refers to a past diagnosis. However, when initially diagnosed, treatments might include procedures like LEEP (Loop Electrosurgical Excision Procedure), cryotherapy, or laser treatment to remove abnormal cells.

#### Prognosis and Follow-Up
- Regular follow-ups and routine cervical screenings (Pap and HPV tests) are crucial for monitoring and ensuring no progression to invasive cervical cancer. The prognosis is generally favorable with appropriate surveillance.

#### Complications
- Left untreated, in-situ neoplasms may progress to invasive cervical cancer. However, such progression is generally rare if detected and managed early.

#### Lifestyle & Prevention
- HPV vaccination can significantly reduce the risk. Safer sexual practices, avoiding smoking, and regular cervical screenings are key preventive measures.

#### When to Seek Professional Help
- Any changes or abnormalities found in routine cervical screenings may necessitate further investigation. Persistent abnormal bleeding or unusual discharge should also prompt medical consultation.

#### Additional Resources
- American Cancer Society (www.cancer.org)
- Centers for Disease Control and Prevention (CDC) HPV Information (www.cdc.gov/std/hpv/stdfact-hpv.htm)
- National Cancer Institute (www.cancer.gov)

#### Tips for Medical Coders
- Ensure distinguishing this history code from active disease codes for cervical cancer.
- Verify that documentation explicitly indicates a history and not a current condition.

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