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2025 ICD-10-CM code C53.8

Malignant neoplasm involving two or more adjacent areas of the cervix uteri.

Use C53.8 when the malignant neoplasm overlaps contiguous sites within the cervix, such as endocervix and exocervix, or multiple quadrants. Do not use C53.8 for non-contiguous tumors in different areas of the cervix; code each site separately in such cases.If the neoplasm extends beyond the cervix to adjacent organs, additional codes are required to reflect the full extent of the malignancy.

Medical necessity for the use of C53.8 is established by the confirmed diagnosis of malignancy involving overlapping sites of the cervix uteri through appropriate diagnostic methods such as biopsy.Treatment of cervical cancer is medically necessary to prevent further spread and improve patient outcomes.

Diagnosis and treatment of cervical cancer typically involves gynecologists and oncologists. Diagnostic procedures include pelvic examination, Pap test, biopsy, colposcopy, and imaging (CT, MRI, PET). Treatment options include surgery (hysterectomy, cone biopsy), radiation therapy, and chemotherapy, often in combination depending on the cancer stage and patient's individual circumstances. Patient education and counseling are essential components of clinical responsibility.

In simple words: Cancerous growth affecting multiple adjacent parts of the cervix, the lower part of the uterus.

Malignant neoplasm of overlapping sites of the cervix uteri refers to the presence of cancerous growth affecting multiple contiguous areas within the cervix.This signifies that the malignancy is not confined to a single, well-defined region of the cervix (endocervix or exocervix) but spreads across adjacent areas.

Example 1: A patient presents with abnormal vaginal bleeding. Pelvic examination and Pap smear reveal abnormal cells. A biopsy confirms a malignant neoplasm overlapping the endocervix and exocervix. Code C53.8 is used., A patient with a history of HPV infection undergoes a colposcopy and biopsy, which reveals a malignant neoplasm spreading across adjacent quadrants of the cervix. Code C53.8 is applied., During a routine pelvic exam, a physician discovers a suspicious lesion on the cervix. Biopsy confirms squamous cell carcinoma involving both the anterior and posterior lips of the cervix. Code C53.8 is assigned.

Medical records should document the diagnosis of malignant neoplasm, the specific sites involved within the cervix (e.g., endocervix, exocervix, specific quadrants), confirmation by pathology report, and staging information. Details of any diagnostic procedures (Pap smear, biopsy, colposcopy, imaging studies) and treatment plan should be included.

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