ICD-10 Diagnosis Code D01.0

Carcinoma in situ of colon

Diagnosis Code D01.0

ICD-10: D01.0
Short Description: Carcinoma in situ of colon
Long Description: Carcinoma in situ of colon
This is the 2019 version of the ICD-10-CM diagnosis code D01.0

Valid for Submission
The code D01.0 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • In situ neoplasms (D00-D09)
      • Carcinoma in situ of other and unspecified digestive organs (D01)


Version 2019 Billable Code Neoplasm CaInSitu

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code D01.0 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 374 - DIGESTIVE MALIGNANCY WITH MCC
  • 375 - DIGESTIVE MALIGNANCY WITH CC
  • 376 - DIGESTIVE MALIGNANCY WITHOUT CC/MCC

Convert to ICD-9
Synonyms
  • Carcinoma in situ of appendix
  • Carcinoma in situ of ascending colon
  • Carcinoma in situ of cecum
  • Carcinoma in situ of colon
  • Carcinoma in situ of descending colon
  • Carcinoma in situ of hepatic flexure of colon
  • Carcinoma in situ of large intestine
  • Carcinoma in situ of sigmoid colon
  • Carcinoma in situ of splenic flexure
  • Carcinoma in situ of transverse colon
  • Neoplasm of colon primary tumor staging category Tis: Carcinoma in situ: intraepithelial or invasion of lamina propria
  • Neoplasm of hepatic flexure of colon
  • Neoplasm of splenic flexure of colon
  • pTis: Carcinoma in situ, intraepithelial
  • pTis: Carcinoma in situ, invasion of lamina propria
  • pTis: Tumor invades muscularis mucosae
  • Tis: Epithelium only
  • Tis: Tumor invades lamina propria
  • Tis: Tumor invades muscularis mucosae

Tabular List of Diseases and Injuries
References found for the code D01.0 in the Tabular List of Diseases and Injuries:

  • Type 1 Excludes Notes:
    • carcinoma in situ of rectosigmoid junction (D01.1)

Table of Neoplasms

The code D01.0 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
»appendix
C18.1C78.5D01.0D12.1D37.3D49.0
»caput coli
C18.0C78.5D01.0D12.0D37.4D49.0
»cecum
C18.0C78.5D01.0D12.0D37.4D49.0
»hepatic [See Also: Index to disease, by histology]
  »flexure (colon)
C18.3C78.5D01.0D12.3D37.4D49.0
»ileocecum, ileocecal (coil) (junction) (valve)
C18.0C78.5D01.0D12.0D37.4D49.0
»intestine, intestinal
  »large
C18.9C78.5D01.0D12.6D37.4D49.0
»intestine, intestinal
  »large
    »appendix
C18.1C78.5D01.0D12.1D37.3D49.0
»intestine, intestinal
  »large
    »caput coli
C18.0C78.5D01.0D12.0D37.4D49.0
»intestine, intestinal
  »large
    »cecum
C18.0C78.5D01.0D12.0D37.4D49.0
»intestine, intestinal
  »large
    »colon
C18.9C78.5D01.0D12.6D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »ascending
C18.2C78.5D01.0D12.2D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »caput
C18.0C78.5D01.0D12.0D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »descending
C18.6C78.5D01.0D12.4D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »distal
C18.6C78.5D01.0D12.4D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »left
C18.6C78.5D01.0D12.4D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »pelvic
C18.7C78.5D01.0D12.5D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »right
C18.2C78.5D01.0D12.2D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »sigmoid (flexure)
C18.7C78.5D01.0D12.5D37.4D49.0
»intestine, intestinal
  »large
    »colon
      »transverse
C18.4C78.5D01.0D12.3D37.4D49.0
»intestine, intestinal
  »large
    »hepatic flexure
C18.3C78.5D01.0D12.3D37.4D49.0
»intestine, intestinal
  »large
    »ileocecum, ileocecal (coil) (valve)
C18.0C78.5D01.0D12.0D37.4D49.0
»intestine, intestinal
  »large
    »sigmoid flexure (lower) (upper)
C18.7C78.5D01.0D12.5D37.4D49.0
»intestine, intestinal
  »large
    »splenic flexure
C18.5C78.5D01.0D12.3D37.4D49.0
»junction
  »ileocecal
C18.0C78.5D01.0D12.0D37.4D49.0
»sigmoid flexure (lower) (upper)
C18.7C78.5D01.0D12.5D37.4D49.0
»spleen, splenic NEC
  »flexure (colon)
C18.5C78.5D01.0D12.3D37.4D49.0

Information for Patients


Colorectal Cancer

Also called: Colon cancer, Rectal cancer

The colon and rectum are part of the large intestine. Colorectal cancer occurs when tumors form in the lining of the large intestine. It is common in both men and women. The risk of developing colorectal cancer rises after age 50. You're also more likely to get it if you have colorectal polyps, a family history of colorectal cancer, ulcerative colitis or Crohn's disease, eat a diet high in fat, or smoke.

Symptoms of colorectal cancer include

  • Diarrhea or constipation
  • A feeling that your bowel does not empty completely
  • Blood (either bright red or very dark) in your stool
  • Stools that are narrower than usual
  • Frequent gas pains or cramps, or feeling full or bloated
  • Weight loss with no known reason
  • Fatigue
  • Nausea or vomiting

Because you may not have symptoms at first, it's important to have screening tests. Everyone over 50 should get screened. Tests include colonoscopy and tests for blood in the stool. Treatments for colorectal cancer include surgery, chemotherapy, radiation, or a combination. Surgery can usually cure it when it is found early.

NIH: National Cancer Institute

  • Abdominal radiation - discharge (Medical Encyclopedia)
  • After chemotherapy - discharge (Medical Encyclopedia)
  • Colon cancer (Medical Encyclopedia)
  • Colon cancer screening (Medical Encyclopedia)
  • Large bowel resection (Medical Encyclopedia)
  • Lower GI Series - NIH (National Institute of Diabetes and Digestive and Kidney Diseases)
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • 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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