In simple words: Moderate dysplasia of the cervix refers to abnormal changes in the cells of the cervix, which is the lower part of the uterus.These changes are not cancer, but they can sometimes lead to cancer if left untreated.

Moderate cervical dysplasia, characterized by abnormal cell growth on the surface of the cervix. It is considered a precancerous condition, often referred to as CIN II.

Example 1: A 30-year-old female patient has an abnormal Pap smear result showing atypical squamous cells of undetermined significance (ASC-US).A subsequent colposcopy and biopsy reveal moderate cervical dysplasia (CIN II). The physician recommends a LEEP procedure to remove the abnormal cells., A routine Pap smear during a woman’s annual exam shows low-grade squamous intraepithelial lesion (LSIL). A colposcopy is performed and reveals an area of moderate dysplasia. A biopsy confirms CIN II., A 45-year-old woman presents with post-coital bleeding. A Pap smear and colposcopy/biopsy are performed, which reveals CIN II.

Documentation should include the findings from the pelvic exam, Pap smear results, colposcopy findings, and biopsy results.The size and location of the lesion should be documented, along with the chosen treatment and follow-up plan.

** Excludes1: abnormal results from cervical cytologic examination without histologic confirmation (R87.61-) carcinoma in situ of cervix uteri (D06.-) cervical intraepithelial neoplasia III [CIN III] (D06.-) HGSIL of cervix (R87.613) severe dysplasia of cervix uteri (D06.-)