ICD-10 Diagnosis Code D02.0

Carcinoma in situ of larynx

Diagnosis Code D02.0

ICD-10: D02.0
Short Description: Carcinoma in situ of larynx
Long Description: Carcinoma in situ of larynx
This is the 2019 version of the ICD-10-CM diagnosis code D02.0

Valid for Submission
The code D02.0 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • In situ neoplasms (D00-D09)
      • Carcinoma in situ of middle ear and respiratory system (D02)

Information for Medical Professionals

Convert to ICD-9
  • 231.0 - Ca in situ larynx

Synonyms
  • Carcinoma in situ of anterior commissure
  • Carcinoma in situ of aryepiglottic fold
  • Carcinoma in situ of arytenoid cartilage
  • Carcinoma in situ of corniculate cartilage
  • Carcinoma in situ of cricoid cartilage
  • Carcinoma in situ of cuneiform cartilage
  • Carcinoma in situ of epiglottis
  • Carcinoma in situ of false vocal cord
  • Carcinoma in situ of glottis
  • Carcinoma in situ of laryngeal aspect of aryepiglottic fold
  • Carcinoma in situ of laryngeal aspect of interarytenoid fold
  • Carcinoma in situ of laryngeal commissure
  • Carcinoma in situ of laryngeal surface of epiglottis
  • Carcinoma in situ of larynx
  • Carcinoma in situ of posterior commissure
  • Carcinoma in situ of subglottis
  • Carcinoma in situ of supraglottis
  • Carcinoma in situ of thyroid cartilage
  • Carcinoma in situ of vestibular fold
  • Carcinoma in situ of vocal cord
  • Neoplasm of false vocal cord
  • Neoplasm of laryngeal aspect of aryepiglottic fold
  • Neoplasm of laryngeal aspect of interarytenoid fold
  • Neoplasm of laryngeal surface of epiglottis
  • Neoplasm of subglottis
  • Neoplasm of uncertain behavior of false vocal cord
  • Neoplasm of uncertain behavior of glottis
  • Neoplasm of uncertain behavior of vocal cord
  • Tumor of anterior commissure
  • Tumor of arytenoid
  • Tumor of posterior commissure

Index of Diseases and Injuries
References found for the code D02.0 in the Index of Diseases and Injuries:

  • Inclusion Terms:
    • Carcinoma in situ of aryepiglottic fold or interarytenoid fold, laryngeal aspect
    • Carcinoma in situ of epiglottis (suprahyoid portion)
  • Type 1 Excludes Notes:
    • carcinoma in situ of aryepiglottic fold or interarytenoid fold NOS (D00.08)
    • carcinoma in situ of hypopharyngeal aspect (D00.08)
    • carcinoma in situ of marginal zone (D00.08)

Table of Neoplasms

The code D02.0 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
»aryepiglottic fold
  »laryngeal aspect
C32.1C78.39D02.0D14.1D38.0D49.1
»arytenoid (cartilage)
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »arytenoid
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »cricoid
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »cuneiform
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »epiglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »larynx, laryngeal
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »thyroid
C32.3C78.39D02.0D14.1D38.0D49.1
»commissure
  »laryngeal
C32.0C78.39D02.0D14.1D38.0D49.1
»cord (true) (vocal)
C32.0C78.39D02.0D14.1D38.0D49.1
»cord (true) (vocal)
  »false
C32.1C78.39D02.0D14.1D38.0D49.1
»cricoid
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»cuneiform cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»epiglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »posterior (laryngeal) surface
C32.1C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »suprahyoid portion
C32.1C78.39D02.0D14.1D38.0D49.1
»glottis
C32.0C78.39D02.0D14.1D38.0D49.1
»interarytenoid fold
  »laryngeal aspect
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
C32.9C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »aryepiglottic fold
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »cartilage (arytenoid) (cricoid) (cuneiform) (thyroid)
C32.3C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »commissure (anterior) (posterior)
C32.0C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »extrinsic NEC
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »interarytenoid fold
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »intrinsic
C32.0C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »ventricular band
C32.1C78.39D02.0D14.1D38.0D49.1
»subglottis, subglottic
C32.2C78.39D02.0D14.1D38.0D49.1
»supraglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»thyroid (gland)
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»ventricular band of larynx
C32.1C78.39D02.0D14.1D38.0D49.1
»vocal cords (true)
C32.0C78.39D02.0D14.1D38.0D49.1
»vocal cords (true)
  »false
C32.1C78.39D02.0D14.1D38.0D49.1

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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