ICD-10 Diagnosis Code D01.5

Carcinoma in situ of liver, gallbladder and bile ducts

Diagnosis Code D01.5

ICD-10: D01.5
Short Description: Carcinoma in situ of liver, gallbladder and bile ducts
Long Description: Carcinoma in situ of liver, gallbladder and bile ducts
This is the 2019 version of the ICD-10-CM diagnosis code D01.5

Valid for Submission
The code D01.5 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 D01.5 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 435 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC
  • 436 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC
  • 437 - MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Convert to ICD-9
  • 230.8 - Ca in situ liver/biliary

Synonyms
  • Carcinoma in situ of ampulla of Vater
  • Carcinoma in situ of biliary tract
  • Carcinoma in situ of common bile duct
  • Carcinoma in situ of common hepatic duct
  • Carcinoma in situ of cystic duct
  • Carcinoma in situ of duodenum
  • Carcinoma in situ of extrahepatic bile ducts
  • Carcinoma in situ of gallbladder
  • Carcinoma in situ of hepatic duct
  • Carcinoma in situ of intrahepatic bile ducts
  • Carcinoma in situ of liver
  • Carcinoma in situ of liver and/or biliary system
  • Carcinoma in situ of pancreas
  • Carcinoma in situ of pancreatic duct
  • Carcinoma in situ of small intestine
  • Carcinoma in situ of sphincter of Oddi
  • Neoplasm of cystic duct

Tabular List of Diseases and Injuries
References found for the code D01.5 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Carcinoma in situ of ampulla of Vater

Table of Neoplasms

The code D01.5 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
»ampulla of Vater
C24.1C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
C24.9C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
  »canaliculi (biliferi) (intrahepatic)
C22.1C78.7D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »canals, interlobular
C22.1C78.89D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
C24.0C78.89D01.5D13.5D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »interlobular
C22.1C78.89D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »intrahepatic
C22.1C78.7D01.5D13.4D37.6D49.0
»bile or biliary (tract)
  »duct or passage (common) (cystic) (extrahepatic)
    »intrahepatic
      »and extrahepatic
C24.8C78.89D01.5D13.5D37.6D49.0
»canaliculi, biliary (biliferi) (intrahepatic)
C22.1C78.7D01.5D13.4D37.6D49.0
»cholangiole
C22.1C78.89D01.5D13.4D37.6D49.0
»choledochal duct
C24.0C78.89D01.5D13.5D37.6D49.0
»common (bile) duct
C24.0C78.89D01.5D13.5D37.6D49.0
»cystic (bile) duct (common)
C24.0C78.89D01.5D13.5D37.6D49.0
»extrahepatic (bile) duct
C24.0C78.89D01.5D13.5D37.6D49.0
»gall duct (extrahepatic)
C24.0C78.89D01.5D13.5D37.6D49.0
»gall duct (extrahepatic)
  »intrahepatic
C22.1C78.7D01.5D13.4D37.6D49.0
»gallbladder
C23C78.89D01.5D13.5D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
C22.9C78.7D01.5D13.4D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
  »duct (bile)
C24.0C78.89D01.5D13.5D37.6D49.0
»hepatic [See Also: Index to disease, by histology]
  »primary
C22.8C78.7D01.5D13.4D37.6D49.0
»hepatobiliary
C24.9C78.89D01.5D13.5D37.6D49.0
»hepatoblastoma
C22.2C78.7D01.5D13.4D37.6D49.0
»hepatoma
C22.0C78.7D01.5D13.4D37.6D49.0
»intrahepatic (bile) duct
C22.1C78.7D01.5D13.4D37.6D49.0
»liver [See Also: Index to disease, by histology]
C22.9C78.7D01.5D13.4D37.6D49.0
»liver [See Also: Index to disease, by histology]
  »primary
C22.8C78.7D01.5D13.4D37.6D49.0
»sphincter
  »of Oddi
C24.0C78.89D01.5D13.5D37.6D49.0
»Vater's ampulla
C24.1C78.89D01.5D13.5D37.6D49.0

Information for Patients


Bile Duct Cancer

Also called: Cholangiocarcinoma

Your liver makes a digestive juice called bile. Your gallbladder stores it between meals. When you eat, your gallbladder pushes the bile into tubes called bile ducts. They carry the bile to your small intestine. The bile helps break down fat. It also helps the liver get rid of toxins and wastes.

Bile duct cancer is rare. It can happen in the parts of the bile ducts that are outside or inside the liver. Cancer of the bile duct outside of the liver is much more common. Risk factors include having inflammation of the bile duct, ulcerative colitis, and some liver diseases.

Symptoms can include

  • Jaundice
  • Itchy skin
  • Fever
  • Abdominal pain

Tests to diagnose bile duct cancer may include a physical exam, imaging tests of the liver and bile ducts, blood tests, and a biopsy.

Treatments include surgery, radiation therapy, and chemotherapy.

NIH: National Cancer Institute

  • Biliary stricture (Medical Encyclopedia)
  • Cholangiocarcinoma (Medical Encyclopedia)
  • ERCP (Medical Encyclopedia)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

Gallbladder Cancer

Your gallbladder is a pear-shaped organ under your liver. It stores bile, a fluid made by your liver to digest fat. As your stomach and intestines digest food, your gallbladder releases bile through a tube called the common bile duct. The duct connects your gallbladder and liver to your small intestine.

Cancer of the gallbladder is rare. It is more common in women and Native Americans. Symptoms include

  • Jaundice (yellowing of the skin and whites of the eyes)
  • Pain above the stomach
  • Fever
  • Nausea and vomiting
  • Bloating
  • Lumps in the abdomen

It is hard to diagnose gallbladder cancer in its early stages. Sometimes doctors find it when they remove the gallbladder for another reason. But people with gallstones rarely have gallbladder cancer. Because it is often found late, it can be hard to treat gallbladder cancer. Treatment options include surgery, chemotherapy, radiation, or a combination.

NIH: National Cancer Institute

  • After chemotherapy - discharge (Medical Encyclopedia)
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about Brachytherapy (A Type of Internal Radiation Therapy) - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

Liver Cancer

Also called: Hepatocellular carcinoma

Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. Primary liver cancer starts in the liver. Metastatic liver cancer starts somewhere else and spreads to your liver.

Risk factors for primary liver cancer include

  • Having hepatitis B or C
  • Heavy alcohol use
  • Having cirrhosis, or scarring of the liver
  • Having hemochromatosis, an iron storage disease
  • Obesity and diabetes

Symptoms can include a lump or pain on the right side of your abdomen and yellowing of the skin. However, you may not have symptoms until the cancer is advanced. This makes it harder to treat. Doctors use tests that examine the liver and the blood to diagnose liver cancer. Treatment options include surgery, radiation, chemotherapy, or liver transplantation.

NIH: National Cancer Institute

  • Abdominal tap (Medical Encyclopedia)
  • After chemotherapy - discharge (Medical Encyclopedia)
  • Hepatocellular carcinoma (Medical Encyclopedia)
  • Liver metastases (Medical Encyclopedia)
  • 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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