ICD-10 Diagnosis Code D00.08

Carcinoma in situ of pharynx

Diagnosis Code D00.08

ICD-10: D00.08
Short Description: Carcinoma in situ of pharynx
Long Description: Carcinoma in situ of pharynx
This is the 2019 version of the ICD-10-CM diagnosis code D00.08

Valid for Submission
The code D00.08 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • In situ neoplasms (D00-D09)
      • Carcinoma in situ of oral cavity, esophagus and stomach (D00)


Version 2019 Billable Code Neoplasm CaInSitu

Information for Medical Professionals

Convert to ICD-9
  • 230.0 - Ca in situ oral cav/phar (Approximate Flag)

Synonyms
  • Carcinoma in situ of adenoid
  • Carcinoma in situ of anterior aspect of epiglottis
  • Carcinoma in situ of anterior pillar of fauces
  • Carcinoma in situ of anterior wall of nasopharynx
  • Carcinoma in situ of aryepiglottic fold
  • Carcinoma in situ of dorsal surface of tongue
  • Carcinoma in situ of ear, nose and throat
  • Carcinoma in situ of epiglottis
  • Carcinoma in situ of epiglottis
  • Carcinoma in situ of hypopharyngeal aspect of aryepiglottic fold
  • Carcinoma in situ of hypopharyngeal aspect of interarytenoid fold
  • Carcinoma in situ of hypopharynx
  • Carcinoma in situ of junctional region of epiglottis
  • Carcinoma in situ of lateral wall of nasopharynx
  • Carcinoma in situ of lateral wall of oropharynx
  • Carcinoma in situ of lingual tonsil
  • Carcinoma in situ of nasal cavity
  • Carcinoma in situ of nasal cavity and nasopharynx
  • Carcinoma in situ of nasopharynx
  • Carcinoma in situ of nasopharynx
  • Carcinoma in situ of oropharynx
  • Carcinoma in situ of pharynx
  • Carcinoma in situ of postcricoid region
  • Carcinoma in situ of posterior hypopharyngeal wall
  • Carcinoma in situ of posterior wall of nasopharynx
  • Carcinoma in situ of posterior wall of oropharynx
  • Carcinoma in situ of pyriform sinus
  • Carcinoma in situ of superior wall of nasopharynx
  • Carcinoma in situ of tonsil
  • Carcinoma in situ of tonsillar fossa
  • Carcinoma in situ of tonsillar pillar
  • Carcinoma in situ of vallecula
  • Carcinoma in situ of Waldeyer's ring
  • Mass of vallecula of epiglottis
  • Neoplasm of adenoid
  • Neoplasm of anterior aspect of epiglottis
  • Neoplasm of anterior wall of nasopharynx
  • Neoplasm of hypopharyngeal aspect of interarytenoid fold
  • Neoplasm of junctional region of epiglottis
  • Neoplasm of lateral wall of nasopharynx
  • Neoplasm of lingual tonsil
  • Neoplasm of postcricoid region
  • Neoplasm of posterior hypopharyngeal wall
  • Neoplasm of posterior wall of oropharynx
  • Neoplasm of pyriform sinus
  • Neoplasm of superior wall of nasopharynx
  • Neoplasm of tonsillar fossa
  • Neoplasm of vallecula
  • Tumor of anterior pillar of fauces
  • Tumor of aryepiglottic fold - hypopharyngeal aspect
  • Tumor of nasal cavity and nasopharynx

Tabular List of Diseases and Injuries
References found for the code D00.08 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Carcinoma in situ of aryepiglottic fold NOS
    • Carcinoma in situ of hypopharyngeal aspect of aryepiglottic fold
    • Carcinoma in situ of marginal zone of aryepiglottic fold

Table of Neoplasms

The code D00.08 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»adenoid (pharynx) (tissue)
C11.1C79.89D00.08D10.6D37.05D49.0
»aryepiglottic fold
C13.1C79.89D00.08D10.7D37.05D49.0
»aryepiglottic fold
  »hypopharyngeal aspect
C13.1C79.89D00.08D10.7D37.05D49.0
»aryepiglottic fold
  »marginal zone
C13.1C79.89D00.08D10.7D37.05D49.0
»auditory
  »tube
    »opening
C11.2C79.89D00.08D10.6D37.05D49.0
»branchial (cleft) (cyst) (vestiges)
C10.4C79.89D00.08D10.5D37.05D49.0
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »epiglottis
    »anterior surface
C10.1C79.89D00.08D10.5D37.05D49.0
»choana
C11.3C79.89D00.08D10.6D37.05D49.0
»cricoid
C13.0C79.89D00.08D10.7D37.05D49.0
»cricopharynx
C13.0C79.89D00.08D10.7D37.05D49.0
»epiglottis
  »anterior aspect or surface
C10.1C79.89D00.08D10.5D37.05D49.0
»epiglottis
  »free border (margin)
C10.1C79.89D00.08D10.5D37.05D49.0
»epiglottis
  »junctional region
C10.8C79.89D00.08D10.5D37.05D49.0
»fauces, faucial NEC
C10.9C79.89D00.08D10.5D37.05D49.0
»fauces, faucial NEC
  »pillars
C09.1C79.89D00.08D10.5D37.05D49.0
»fauces, faucial NEC
  »tonsil
C09.9C79.89D00.08D10.4D37.05D49.0
»fornix
C11.3C79.89D00.08D10.6D37.05D49.0
»fornix
  »pharyngeal
C11.3C79.89D00.08D10.6D37.05D49.0
»fossa (of)
  »piriform
C12C79.89D00.08D10.7D37.05D49.0
»fossa (of)
  »pyriform
C12C79.89D00.08D10.7D37.05D49.0
»fossa (of)
  »Rosenmuller
C11.2C79.89D00.08D10.6D37.05D49.0
»fossa (of)
  »tonsillar
C09.0C79.89D00.08D10.5D37.05D49.0
»glosso-epiglottic fold (s)
C10.1C79.89D00.08D10.5D37.05D49.0
»glossopalatine fold
C09.1C79.89D00.08D10.5D37.05D49.0
»glossopharyngeal sulcus
C09.0C79.89D00.08D10.5D37.05D49.0
»hypopharynx, hypopharyngeal NEC
C13.9C79.89D00.08D10.7D37.05D49.0
»hypopharynx, hypopharyngeal NEC
  »postcricoid region
C13.0C79.89D00.08D10.7D37.05D49.0
»hypopharynx, hypopharyngeal NEC
  »posterior wall
C13.2C79.89D00.08D10.7D37.05D49.0
»hypopharynx, hypopharyngeal NEC
  »pyriform fossa (sinus)
C12C79.89D00.08D10.7D37.05D49.0
»interarytenoid fold
C13.1C79.89D00.08D10.7D37.05D49.0
»interarytenoid fold
  »hypopharyngeal aspect
C13.1C79.89D00.08D10.7D37.05D49.0
»interarytenoid fold
  »marginal zone
C13.1C79.89D00.08D10.7D37.05D49.0
»laryngopharynx
C13.9C79.89D00.08D10.7D37.05D49.0
»larynx, laryngeal NEC
  »extrinsic NEC
    »meaning hypopharynx
C13.9C79.89D00.08D10.7D37.05D49.0
»nasopharynx, nasopharyngeal
C11.9C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »floor
C11.3C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »roof
C11.0C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »wall
C11.9C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »wall
    »anterior
C11.3C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »wall
    »lateral
C11.2C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »wall
    »posterior
C11.1C79.89D00.08D10.6D37.05D49.0
»nasopharynx, nasopharyngeal
  »wall
    »superior
C11.0C79.89D00.08D10.6D37.05D49.0
»nose, nasal
  »choana
C11.3C79.89D00.08D10.6D37.05D49.0
»nose, nasal
  »septum
    »posterior margin
C11.3C79.89D00.08D10.6D37.05D49.0
»oropharynx
C10.9C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »branchial cleft (vestige)
C10.4C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »junctional region
C10.8C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »lateral wall
C10.2C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »pillars or fauces
C09.1C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »posterior wall
C10.3C79.89D00.08D10.5D37.05D49.0
»oropharynx
  »vallecula
C10.0C79.89D00.08D10.5D37.05D49.0
»palate
  »soft
    »nasopharyngeal surface
C11.3C79.89D00.08D10.6D37.05D49.0
»palate
  »soft
    »posterior surface
C11.3C79.89D00.08D10.6D37.05D49.0
»palate
  »soft
    »superior surface
C11.3C79.89D00.08D10.6D37.05D49.0
»pharynx, pharyngeal
C14.0C79.89D00.08D10.9D37.05D49.0
»pharynx, pharyngeal
  »bursa
C11.1C79.89D00.08D10.6D37.05D49.0
»pharynx, pharyngeal
  »fornix
C11.3C79.89D00.08D10.6D37.05D49.0
»pharynx, pharyngeal
  »recess
C11.2C79.89D00.08D10.6D37.05D49.0
»pharynx, pharyngeal
  »region
C14.0C79.89D00.08D10.9D37.05D49.0
»pharynx, pharyngeal
  »tonsil
C11.1C79.89D00.08D10.6D37.05D49.0
»pharynx, pharyngeal
  »wall (lateral) (posterior)
C14.0C79.89D00.08D10.9D37.05D49.0
»pillars of fauces
C09.1C79.89D00.08D10.5D37.05D49.0
»piriform fossa or sinus
C12C79.89D00.08D10.7D37.05D49.0
»postcricoid (region)
C13.0C79.89D00.08D10.7D37.05D49.0
»postnasal space
C11.9C79.89D00.08D10.6D37.05D49.0
»pyriform fossa or sinus
C12C79.89D00.08D10.7D37.05D49.0
»retropharyngeal
C14.0C79.89D00.08D10.9D37.05D49.0
»Rosenmuller's fossa
C11.2C79.89D00.08D10.6D37.05D49.0
»septum
  »nasal
    »posterior margin
C11.3C79.89D00.08D10.6D37.05D49.0
»sinus (accessory)
  »pyriform
C12C79.89D00.08D10.7D37.05D49.0
»throat
C14.0C79.89D00.08D10.9D37.05D49.0
»tonsil
C09.9C79.89D00.08D10.4D37.05D49.0
»tonsil
  »fauces, faucial
C09.9C79.89D00.08D10.4D37.05D49.0
»tonsil
  »palatine
C09.9C79.89D00.08D10.4D37.05D49.0
»tonsil
  »pharyngeal
C11.1C79.89D00.08D10.6D37.05D49.0
»tonsil
  »pillar (anterior) (posterior)
C09.1C79.89D00.08D10.5D37.05D49.0
»tonsillar fossa
C09.0C79.89D00.08D10.5D37.05D49.0
»vallecula (epigiottis)
C10.0C79.89D00.08D10.5D37.05D49.0
»Waldeyer's ring
C14.2C79.89D00.08D10.9D37.05D49.0

Information for Patients


Throat Cancer

Also called: Hypopharyngeal cancer, Laryngeal cancer, Laryngopharyngeal cancer, Nasopharyngeal cancer, Oropharyngeal cancer, Pharyngeal cancer

Throat cancer is a type of head and neck cancer. Throat cancer has different names, depending on which part of the throat is affected. The different parts of your throat are called the oropharynx, the hypopharynx, the nasopharynx, and the larynx, or voice box.

The main risk factors for throat cancer are using tobacco heavy drinking. Certain types of throat cancer also have other risk factors. For example, having HPV is a risk factor for oropharyngeal cancer.

Symptoms of throat cancer may include

  • A sore throat that does not go away
  • A lump in the neck
  • Pain or ringing in the ears
  • Trouble swallowing
  • Ear pain

To diagnose throat cancers, doctors may do a physical exam and history, imaging tests, and a biopsy. You may also need other tests, depending on the type of cancer. Treatments include surgery, radiation therapy, and chemotherapy. Treatment for some types of throat cancer may also include targeted therapy. Targeted therapy uses substances that attack cancer cells without harming normal cells.

NIH: National Cancer Institute

  • Laryngectomy (Medical Encyclopedia)
  • Swallowing problems (Medical Encyclopedia)
  • Throat or larynx cancer (Medical Encyclopedia)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

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