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ICD-10 Coding for Cervical Intraepithelial Neoplasia III(D06.9)

Complete ICD-10-CM coding and documentation guide for Cervical Intraepithelial Neoplasia III. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CIN IIISevere DysplasiaCarcinoma in Situ

Related ICD-10 Code Ranges

Complete code families applicable to Cervical Intraepithelial Neoplasia III

D06.0-D06.9Primary Range

Carcinoma in situ of cervix uteri

This range includes all site-specific codes for CIN III, which is classified as carcinoma in situ.

Dysplasia of cervix uteri

This range includes codes for cervical dysplasia, which are used for lower grades than CIN III.

Key Information: ICD-10 code for cervical intraepithelial neoplasia III

Essential facts and insights about Cervical Intraepithelial Neoplasia III

The ICD-10 code for cervical intraepithelial neoplasia III is D06.9, representing carcinoma in situ of the cervix.

Primary ICD-10-CM Code for cervical intraepithelial neoplasia roman numeral for the number 3

Carcinoma in situ of cervix, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Histological confirmation of CIN III

coding Criteria

  • Use D06.9 for unspecified site of CIN III

Applicable To

  • CIN III
  • Severe Dysplasia
  • Carcinoma in Situ

Excludes

Clinical Validation Requirements

  • Histology report confirming CIN III
  • p16 immunohistochemistry positivity

Code-Specific Risks

  • Misclassification of CIN II as CIN III without p16 confirmation

Coding Notes

  • Ensure histological confirmation and p16 positivity for CIN III coding.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Abnormal cytologic findings on cervical screening

R87.611
Use for abnormal Pap smear findings leading to CIN III diagnosis.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Moderate dysplasia of cervix uteri

N87.1
Use for CIN II, not CIN III.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cervical Intraepithelial Neoplasia III to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code D06.9.

Impact

Clinical: May lead to inappropriate treatment planning., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.

Mitigation Strategy

Use specific CIN terminology., Verify histological findings.

Impact

Reimbursement: Incorrect coding may lead to claim denials., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data reporting.

Mitigation Strategy

Ensure p16 positivity and explicit CIN III confirmation before coding.

Impact

Coding CIN III without histological confirmation.

Mitigation Strategy

Require biopsy and p16 results before coding.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Cervical Intraepithelial Neoplasia III, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cervical Intraepithelial Neoplasia III

Use these documentation templates to ensure complete and accurate documentation for Cervical Intraepithelial Neoplasia III. These templates include all required elements for proper coding and billing.

CIN III confirmed by biopsy

Specialty: Gynecology

Required Elements

  • Patient demographics
  • Biopsy results
  • p16 immunohistochemistry
  • Treatment plan

Example Documentation

35yo F with ASC-H Pap. Colposcopy reveals acetowhite lesion at 3 o’clock. Biopsy shows full-thickness nuclear atypia, mitotic figures extending to upper third, and p16 block positivity. Diagnosis: CIN III (8077/2) of exocervix.

Examples: Poor vs. Good Documentation

Poor Documentation Example
High-grade lesion noted.
Good Documentation Example
CIN III confirmed on biopsy with p16 positivity.
Explanation
The good example provides specific histological findings and p16 confirmation.

Need help with ICD-10 coding for Cervical Intraepithelial Neoplasia III? Ask your questions below.

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