ICD-10-CM Code D01.3

Carcinoma in situ of anus and anal canal

Version 2020 Billable Code Neoplasm CaInSitu

Valid for Submission

D01.3 is a billable code used to specify a medical diagnosis of carcinoma in situ of anus and anal canal. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code D01.3 might also be used to specify conditions or terms like anal intraepithelial neoplasia , bowenoid papulosis, bowenoid papulosis of anus , bowenoid papulosis of anus, carcinoma in situ of anal canal, carcinoma in situ of anus, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: anorectum, anorectal (junction) ; anus, anal ; anus, anal canal ; anus, anal cloacogenic zone ; anus, anal sphincter ; canal ; canal anal ; etc

ICD-10:D01.3
Short Description:Carcinoma in situ of anus and anal canal
Long Description:Carcinoma in situ of anus and anal canal

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code D01.3:

Inclusion Terms

Inclusion Terms
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.
  • Anal intraepithelial neoplasia III AIN III
  • Severe dysplasia of anus

Type 1 Excludes

Type 1 Excludes
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.
  • anal intraepithelial neoplasia I and II AIN I and AIN II K62.82
  • carcinoma in situ of anal margin D04.5
  • carcinoma in situ of anal skin D04.5
  • carcinoma in situ of perianal skin D04.5

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code D01.3 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Anal intraepithelial neoplasia
  • Bowenoid papulosis
  • Bowenoid papulosis of anus
  • Bowenoid papulosis of anus
  • Carcinoma in situ of anal canal
  • Carcinoma in situ of anus
  • Carcinoma in situ of perianal skin
  • Intraepithelial neoplasia due to human papillomavirus
  • Intraepithelial squamous cell carcinoma of anogenital region

Diagnostic Related Groups

The ICD-10 code D01.3 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

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

Convert D01.3 to ICD-9

  • 230.5 - Ca in situ anal canal (Approximate Flag)
  • 230.6 - Ca in situ anus NOS (Approximate Flag)

Code Classification

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

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Table of Neoplasms

The code D01.3 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.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»anorectum, anorectal (junction)
C21.8C78.5D01.3D12.9D37.8D49.0
»anus, anal
C21.0C78.5D01.3D12.9D37.8D49.0
»anus, anal
  »canal
C21.1C78.5D01.3D12.9D37.8D49.0
»anus, anal
  »cloacogenic zone
C21.2C78.5D01.3D12.9D37.8D49.0
»anus, anal
  »sphincter
C21.1C78.5D01.3D12.9D37.8D49.0
»canal
C21.1C78.5D01.3D12.9D37.8D49.0
»canal
  »anal
C21.1C78.5D01.3D12.9D37.8D49.0
»cloacogenic zone
C21.2C78.5D01.3D12.9D37.8D49.0
»crypt of Morgagni
C21.8C78.5D01.3D12.9D37.8D49.0
»hemorrhoidal zone
C21.1C78.5D01.3D12.9D37.8D49.0
»junction
C21.8C78.5D01.3D12.9D37.8D49.0
»junction
  »anorectal
C21.8C78.5D01.3D12.9D37.8D49.0
»sphincter
C21.1C78.5D01.3D12.9D37.8D49.0
»sphincter
  »anal
C21.1C78.5D01.3D12.9D37.8D49.0

Information for Patients


Anal Cancer

The anus is where stool leaves your body when you go to the bathroom. It is made up of your outer layers of skin and the end of your large intestine. Anal cancer is a disease in which cancer cells form in the tissues of the anus.

Anal cancer is rare. It is more common in smokers and people over 50. You are also at higher risk if you have HPV, have anal sex, or have many sexual partners.

Symptoms include bleeding, pain, or lumps in the anal area. Anal itching and discharge can also be signs of anal cancer.

Doctors use tests that examine the anus to diagnose anal cancer. They include a physical exam, endoscopy, ultrasound, and biopsy.

Treatments include radiation therapy, chemotherapy, and surgery.

NIH: National Cancer Institute


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