Uterine Cancer ICD 10 Code

Refresher: What are ICD-10 codes?

ICD stands for International Classification of Diseases. The ICD-10 coding system has been developed to enhance international comparability of mortality data collection, processing, categorization, and presentation. This coding system offers a framework to medical practitioners and allows them to report the cause of death on a death certificate appropriately. Experts then use the classification structure and modification guidelines in the relevant ICD 10 edition released by WHO (World Health Organization) to translate the diseases into medical codes.

The updated ICD-10 coding systems have significantly helped optimize mortality-related data by prioritizing and categorizing specific conditions and methodically identifying a single cause of fatality from a reported series of conditions. The chosen explanation is then referred to as the 'underlying cause of death,' while the other stated reasons are labeled as the 'non-underlying causes of death.'

The ICD coding system has been significantly transformed in the past decades, which has helped enhance its efficiency. For example, the Ninth Revision ICD-9 coding system was replaced by the Tenth Revision ICD-10 coding system. Although there are major similarities between these two additions, certain aspects set them apart. The latest ICD-10 coding system comes in a three-volume set. In contrast to the older ICD-9 coding system, which utilizes numerical categories, the new ICD-10 coding system uses alphabetic categories.

The ICD-10 coding system is used by all healthcare practitioners in the United States to diagnose and provide an improved comprehension of an individual's condition. Patients may also encounter ICD-10-PCS codes, which can be confusing. However, since the ICD-10-PCS and ICD-10-CM use comparable codes, the two have minor variations. One characteristic that differentiates both coding systems is that ICD-10-PCS features various codes exclusive to in-patient coding.

The ICD-10 coding system has majorly contributed to the ease of healthcare professionals in categorizing the different forms of cancer, from tumors (primary malignant neoplasms) to secondary or metastasized tumors (secondary malignant neoplasms). In this article, we will go over the ICD-10 codes for uterine cancer. [1]

What is the ICD-10 code for uterine cancer?

The ICD-10 code for primary uterine cancer is C55, whereas the ICD-10 code for secondary or metastatic uterine cancer is C79.82. Both codes are billable, meaning patients can use them for reimbursement purposes. [2] [3]

Uterine cancers excluded from ICD-10 C55

Since ICD-10 C55 is a classification for uterine cancer of an undefined location, it excludes the specific uterine cancer forms where the primary region has been determined. Below is a table of these uterine cancers excluded from ICD-10 C55: [4]

C54: Malignant Neoplasm of Corpus Uteri

uterine cancers ICD code

Secondary and metastatic uterine cancer ICD 10 code: C79.82

The ICD 10 uterine cancer code for secondary uterine cancers metastasizing from other origins is C79.82, “Secondary malignant neoplasm of genital organs.” C79.82 is a billable ICD-10-CM code that can indicate a diagnosis for reimbursement purposes for individuals with secondary metastatic cancer of any genital organ, such as the uterus. The ICD-10 code became effective in October 2022. [5]

Conclusion

The ICD-10 coding system has enabled medical billing and coding companies and healthcare providers to standardize the diagnosis processes and better monitor and record appropriate treatment plans. This unique coding system allows accurate and complete information to be recorded for healthcare providers, enabling patients to receive better healthcare and doctors to become more confident in their treatment. ICD-10 codes also reduce the chances of denials from billing companies and allow patients to experience a smooth remuneration process.

However, it is critical to be careful when assigning codes since most uterine cancers discussed above have similar symptoms. Assigning the wrong code to a patient can lead to several complications in the long run. Therefore, healthcare providers must clarify the details of a patient's case and carefully evaluate factors like symptoms, complications, and underlying causes to assign a specific code to a patient.