2025 ICD-10-CM code D07.2
(Active) Effective Date: N/A Neoplasms - In situ neoplasms of other and unspecified genital organs 2 Neoplasms (C00-D49) Feed
Carcinoma in situ of the vagina.
Medical necessity is established by the presence of abnormal cells indicative of carcinoma in situ of the vagina. The diagnosis must be confirmed by appropriate diagnostic tests like biopsy. Treatment is necessary to prevent the progression to invasive cancer.
Diagnosis involves pelvic examination, vaginal cytology, biopsy, Pap smear, and pelvic ultrasound. Treatment, depending on severity, might include LEEP, cold knife cone biopsy, cryosurgery, laser surgery, or hysterectomy.
In simple words: This code represents an early stage of vaginal cancer where abnormal cells are found in the lining of the vagina, but they have not yet spread to deeper tissues.It's often diagnosed through a Pap smear and further tests like a biopsy. Treatment options vary but often involve removing the abnormal cells.
Carcinoma in situ of the vagina. This includes severe dysplasia of the vagina and vaginal intraepithelial neoplasia III (VAIN III).
Example 1: A 45-year-old female with a history of HPV presents with abnormal vaginal bleeding. A Pap smear and biopsy confirm VAIN III, and she is scheduled for a LEEP procedure., A routine gynecological exam of a 30-year-old female reveals abnormalities on her Pap smear. Colposcopy and biopsy show severe dysplasia of the vagina, leading to a diagnosis of D07.2., A 60-year-old female undergoing a hysterectomy for other reasons is found to have carcinoma in situ of the vagina during the procedure. The surgeon performs an excisional biopsy to remove the affected area.
Medical history, including HPV status, physical exam findings, results of Pap smear, biopsy, and any imaging studies (like pelvic ultrasound) are essential.
** This code excludes moderate dysplasia of vagina (N89.1) and vaginal intraepithelial neoplasia II [VIN II] (N89.1). For accurate coding, always consult the latest ICD-10-CM guidelines.
- Payment Status: Active
- Specialties:Gynecology, Oncology
- Place of Service:Office, Outpatient Hospital, Inpatient Hospital