2025 ICD-10-CM code C53.9
(Active) Effective Date: N/A Malignant neoplasms of female genital organs - Malignant neoplasm of cervix uteri, unspecified 2: Neoplasms Feed
Malignant neoplasm of the cervix uteri, unspecified. This code is used when the specific site of the cervix uteri (endocervix or exocervix) is not documented.
Medical necessity for treatment of cervical cancer depends on various factors including the stage of cancer, patient's overall health, and treatment options available.
In simple words: This code indicates cervical cancer where the exact location in the cervix is not specified in the medical record.
Malignant neoplasm of the cervix uteri, unspecified. This code is used when the provider does not specify the location of the malignancy within the cervix uteri. The cervix uteri is the lower, narrow part of the uterus that connects to the vagina.
Example 1: A 45-year-old female presents with postcoital bleeding. A pelvic exam reveals a lesion on her cervix. Biopsy confirms squamous cell carcinoma of the cervix, but the report doesn't specify if it's the endocervix or exocervix.C53.9 is used., A 60-year-old female undergoes a routine Pap smear which shows abnormal cells.A colposcopy and biopsy are performed, and the pathology report indicates invasive carcinoma of the cervix, without specifying the location. C53.9 is applied., A 30-year-old female with a history of HPV infection is found to have a cervical mass during a pelvic examination. Imaging and biopsy confirm cervical cancer, but the precise location is not specified in the available documentation. C53.9 would be appropriate.
Documentation should include the diagnosis of malignant neoplasm of the cervix uteri, as well as any relevant diagnostic findings, such as imaging studies and biopsy results. Since this code is for unspecified location, there should be an explicit statement or clear indication that the precise site (endocervix, exocervix) is unknown or not documented.