Pathology/Lab Coding Alert

Add cervical site for ICD-10 diagnosis.When your pathologist diagnoses cervical carcinoma in situ, you'll need to make sure to get the lesion location from the op report if you want to use the most specific ICD-10 diagnosis starting in 2013.That's because when ICD-9 becomes ICD-10 in 2013, you will not always have a simple one-to-one relationship between old codes and the new ones -- and that's the case for reporting severe cervical dysplasia.ICD-10 difference: Instead of relying on one code, 233.1 (Carcinoma in situ, cervix uteri), you'll have multiple ICD-10 options under D06 (Carcinoma in situ of cervix uteri) as follows:D06.0 -- Carcinoma in situ of endocervixD06.1 -- Carcinoma in situ of exocervixD06.7 -- Carcinoma in situ of other parts of cervixD06.9 -- Carcinoma in situ of cervix, unspecified.Physician documentation: The key difference between 233.1 and the D06 category is the specific location of the lesion " endocervix, exocervix, "other parts," or unspecified. That's why [...]