Dx Code For Esophageal Cancer

This section reviews each of the major sections of the C codes. Each of the tables below will have the ICD-10-CM code and the description. The use of “-“(e.g., C00.-), means that there are subcategory codes.

Đang xem: Dx code for esophageal cancer

Neoplasm of Lip, Oral Cavity and Pharynx (C00-C14)

ICD-10-CM CodeICD-10-CM Description
C00.- Malignant neoplasm of lip
C01 Malignant neoplasm of base of tongue
C02.- Malignant neoplasm of other and unspecified parts of tongue
C03.- Malignant neoplasm of gum
C04.- Malignant neoplasm of floor of mouth
C05.- Malignant neoplasm of palate
C06.- Malignant neoplasm of other and unspecified parts of mouth
C07 Malignant neoplasm of parotid gland
C08.- Malignant neoplasm of other and unspecified major salivary glands
C09.- Malignant neoplasm of tonsil
C10.- Malignant neoplasm of oropharynx
C11.- Malignant neoplasm of nasopharynx
C12 Malignant neoplasm of pyriform sinus
C13.- Malignant neoplasm of hypopharynx
C14.- Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

Neoplasm of Digestive Organs (C15-C26)

Esophagus (C15.3-C15.9)

Unlike previous medical coding schemes, ICD-10-CM only recognizes 3 specific subsites (plus overlapping and unspecified) of the esophagus rather than 6.

ICD-10-CM CodeICD-10-CM Description
C15.3 Malignant neoplasm of upper third of esophagus
C15.4 Malignant neoplasm of middle third of esophagus
C15.5 Malignant neoplasm of lower third of esophagus
C15.8 Malignant neoplasm of overlapping sites of esophagus
C15.9 Malignant neoplasm of esophagus, unspecified

Liver (C22.0)

For liver cancers, there are eight codes in the ICD-10-CM, with 6 of the codes designating a specified histology.

ICD-10-CM CodeICD-10-CM Description
C22.0 Liver cell carcinoma
C22.1 Intrahepatic bile duct carcinoma
C22.2 Hepatoblastoma
C22.3 Angiosarcoma of liver
C22.4 Other sarcomas
C22.7 Other specified carcinomas of liver
C22.8 Malignant neoplasm of liver, primary, unspecified as to type
C22.9 Malignant neoplasm of liver, not specified as primary or secondary

ICD-10-CM CodeICD-10-CM Description
C16.- Malignant neoplasm of stomach
C17.- Malignant neoplasm of small intestine
C18.- Malignant neoplasm of colon
C19 Malignant neoplasm of rectosigmoid junction
C20 Malignant neoplasm of rectum
C21.- Malignant neoplasm of anus and anal canal
C22.1 Malignant neoplasm of intrahepatic bile duct
C23 Malignant neoplasm of gallbladder
C24.- Malignant neoplasm of other and unspecified parts of biliary tract
C25.- Malignant neoplasm of pancreas
C26.- Malignant neoplasm of other ill-defined digestive organs Note: Includes Spleen (C26.1) and intestine NOS

Neoplasm of Respiratory System and Intrathoracic Organs (C30-C39)

Note: Lung has laterality codes (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C30.- Malignant neoplasm of nasal cavity and middle ear
C31.- Malignant neoplasm of accessory sinuses
C32.- Malignant neoplasm of larynx
C33 Malignant neoplasm of trachea
C34.- Malignant neoplasm of bronchus and lung Example: C34.11 – Malignant neoplasm of upper lobe, right bronchus or lung
C37 Malignant neoplasm of thymus
C38.- Malignant neoplasm of heart, mediastinum and pleura
C39.- Malignant neoplasm of other and ill-defined sites in the respiratory and intrathoracic organs

Neoplasm of Mesothelial and Soft Tissue (C45)

For mesothelial and soft tissue cancers, there are 5 codes in the ICD-10-CM with 4 of the codes designating the location of the mesothelioma.

ICD-10-CM CodeICD-10-CM Description
C45.0 Mesothelioma of pleura
C45.1 Mesothelioma of peritoneum
C45.2 Mesothelioma of pericardium
C45.7 Mesothelioma of other sites
C45.9 Mesothelioma, unspecified

Neoplasm of Bones, Joints and Articular Cartilage (C40-C41)

Note: Bone (C40 only) has laterality codes (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C40.- Malignant neoplasm of bone and articular cartilage of limbs Example:C40.21 – Malignant neoplasm of long bones of right lower limb
C41.- Malignant neoplasm of bone and articular cartilage of other and unspecified sites

Neoplasm of Skin (Melanoma, Merkel Cell, and Other Skin Histologies) (C43, C44, C4a)

There are three main categories for skin neoplasms in ICD-10-CM. C43 is for malignant melanomas, C4a for Merkel cell carcinoma and C44 for other and unspecified malignant neoplasms of skin. Laterality codes apply to many of the skin sites (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C43.- Malignant melanoma of skin Example: C43.12 – Malignant melanoma of left eyelid, including canthus
C4a.- Merkel cell carcinoma Example: C4A.71 – Merkel cell carcinoma of right lower limb, including hip
C44.-

Other and unspecified malignant neoplasm of skin Example: C44.692 – Other specified malignant neoplasm of skin of right upper limb, including shoulder Note: C44 has 4 different codes for skin subgroup: 5th digit 0: Unspecified malignant neoplasm of skin 5th digit 1: Basal cell carcinoma of skin 5th digit 2: Squamous cell carcinoma of skin 5th digit 9: Other specific malignant neoplasm of skin

Kaposi Sarcoma (46)

For Kaposi sarcoma, there are 8 codes in the ICD-10-CM. The codes breakdown the site of the Kaposi sarcoma.

Lung (C46.5) has laterality codes (0 = unspecified, 1 = right, 2 = left)

ICD-10-CM CodeICD-10-CM Description
C46.0 Kaposi’s sarcoma of skin
C46.1 Kaposi’s sarcoma of soft tissue
C46.2

Kaposi’s sarcoma of palate

C46.3 Kaposi’s sarcoma of lymph nodes
C46.4 Kaposi’s sarcoma of gastrointestinal sites
C46.5- Kaposi’s sarcoma of lung
C46.7 Kaposi’s sarcoma of other sites
C46.9 Kaposi’s sarcoma, unspecified

Neoplasm of Peripheral Nerves and Autonomic nervous system, Retroperitoneum, Peritoneum, and Soft Tissues (C47, C48, C49)

C47.1, C47.2, C49.1, and C49.2 have laterality codes (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C47.- Malignant neoplasm of peripheral nerves and autonomous nervous system Example: C47.10 – Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
C48.- Malignant neoplasm of retroperitoneum and peritoneum
C49.0-C49.9

Malignant neoplasm of other connective and soft tissue

C49.A Gastrointestinal Stromal Tumors

Neoplasm of Breast and Female Genital Organs (C50 – C58)

Breast codes for ICD-10-CM include sex along with laterality. The 5th character is the sex code, while the 6th character is the laterality code. Since the 5th character designates the sex, the breast cancer codes are applicable for both men and women.

Note: ICD-10-CM uses “2” for males and “1” for females.

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Ovary has laterality codes which are included within a four-digit code.

C57.0, C57.1, and C57.2 have laterality codes (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C50.- Malignant neoplasm of breast Examples: C50.412 – Malignant neoplasm of upper-outer quadrant, of left female breast AND C50.422 – Malignant neoplasm of upper-outer quadrant, of left male breast
C51.- Malignant neoplasm of vulva
C52

Malignant neoplasm of vagina

C53.- Malignant neoplasm of cervix uteri
C54.- Malignant neoplasm of corpus uteri
C55 Malignant neoplasm of uterus, part unspecified
C56.- Malignant neoplasm of ovary Example: C56.1 – Malignant neoplasm of right ovary
C57.- Malignant neoplasm of other and unspecified female genital organs Example: C57.00 – Malignant neoplasm of unspecified fallopian tube
C58 Malignant neoplasm of placenta

Neoplasm of Male Genital Organs (C60-C63)

C62.0, C62.1, C62.9, C63.0, and C63.1 have laterality codes (0 = unspecified, 1 = right, 2 = left).

ICD-10-CM CodeICD-10-CM Description
C60.- Malignant neoplasm of penis
C61 Malignant neoplasm of prostate
C62.- Malignant neoplasm of testis Example: C62.11 – Malignant neoplasm of descended right testis
C63.- Malignant neoplasm of other and unspecified male genital organs Example: C63.12 – Malignant neoplasm of left spermatic cord

Neoplasm of Urinary Tract (C64-C68)

C64, C65, and C66 have laterality codes (1 = right, 2 = left, 9 = unspecified). For these sites, the laterality code is the 4th character.

ICD-10-CM CodeICD-10-CM Description
C64.- Malignant neoplasm of kidney Example: C64.1 – Malignant neoplasm of right kidney, except renal pelvis
C65.- Malignant neoplasm of renal pelvis Example: C65.2 – Malignant neoplasm of left renal pelvis
C66.- Malignant neoplasm of ureter Example: C66.9 – Malignant neoplasm of unspecified ureter
C67.- Malignant neoplasm of bladder
C68.- Malignant neoplasm of other and unspecified urinary organs

Neoplasms of Eye, Brain and Other Parts of the Central Nervous System (C69-C72)

All the eye subcategories have laterality codes (0=unspecified, 1=right, 2=left).

ICD-10-CM CodeICD-10-CM Description
C69.- Malignant neoplasm of eye and adnexa Example: C69.41 – Malignant neoplasm of right ciliary body
C70.- Malignant neoplasm of meninges
C71.- Malignant neoplasm of brain
C72.- Malignant neoplasm of spinal cord, cranial nerves, and other parts of the central nervous system

ICD-10-CM CodeICD-10-CM Description
C73 Malignant neoplasm of thyroid gland
C74.- Malignant neoplasm of adrenal gland
C75.- Malignant neoplasm of other endocrine glands and related structures
C76.- Malignant neoplasms of other and ill-defined sites

ICD-10-CM CodeICD-10-CM Description
C7A.00 Malignant carcinoid tumors of unspecified site
C7A.01- Malignant carcinoid tumors of the small intestine
C7A.02- Malignant carcinoid tumors of the appendix, large intestine, and rectum
C7A.09 Malignant carcinoid tumors of other sites
C7A.1 Malignant poorly differentiated neuroendocrine tumors
C7A.8 Other malignant neuroendocrine tumors

Secondary Neuroendocrine Tumors (C7B)

ICD-10-CM has specific category for secondary neuroendocrine tumors.

ICD-10-CM CodeICD-10-CM Description
C7B.0- Secondary carcinoid tumors
C7B.02 Secondary carcinoid tumors of liver
C7B.03 Secondary carcinoid tumors of bone
C7B.04 Secondary carcinoid tumors of peritoneum
C7B.09 Secondary carcinoid tumors of other sites
C7B.1 Secondary Merkel cell carcinoma
C7B.8 Other secondary neuroendocrine tumors

Neoplasm of other and ill- defined sites (C76-80)

All the limb subcategories have laterality codes (0=unspecified, 1=right, 2=left).

ICD-10-CM CodeICD-10-CM Description
C76.0 Malignant neoplasm of head, face and neck
C76.1 Malignant neoplasm of thorax
C76.2 Malignant neoplasm of abdomen
C76.3 Malignant neoplasm of pelvis
C76.4- Malignant neoplasm of upper limb
C76.5- Malignant neoplasm of lower limb
C76.8 Malignant neoplasm of other specified ill-defined sites

Secondary and unspecified malignant neoplasm of lymph nodes (C77)

C77 indicates involvement of lymph nodes and is frequently a secondary code. In the example provided here, there is a left UOQ female breast cancer patient with positive lymph nodes coded using ICD-10-CM – 50.412 code and the appropriate lymph node code, which is C77.3, Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes.

ICD-10-CM CodeICD-10-CM Description
C50.412 Primary Breast, UOQ, Female, Left
C77.3 Secondary, Malignant Neoplasm Axilla and Upper Limb Lymph Nodes

Secondary Cancers of respiratory and digestive organs, other and unspecified sites (C78-80)

Secondary neoplasms are those that are not the primary. Many of these include metastatic disease and may be coded in addition to the primary neoplasm code.

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ICD-10-CM CodeICD-10-CM Description
C78.- Secondary malignant neoplasm of respiratory and digestive organs Example: C78.01 – Secondary malignant neoplasm of right lung
C79.- Secondary malignant neoplasm of other and unspecified site Example: C79.31 – Secondary malignant neoplasm of brain and cerebral meninges

ICD-10-CM CodeICD-10-CM Description
C80.0 Disseminated malignant neoplasm, unspecified Example: Carcinomatosis, NOS
C80.1 Malignant (primary) neoplasm, unspecified
C80.2 Malignant neoplasm associated with transplanted organ

Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)

Both the lymphomas and leukemias have fifth characters. For lymphoma, the 5th character designates the location while for the leukemias and other hematopoietic diseases, the 5th character designates disease status (remission, relapse).

ICD-10-CM CodeICD-10-CM Description
C81.- Hodgkin Lymphoma
C82.- Follicular Non-Hodgkin’s Lymphoma
C83.- Non-follicular lymphomas
C84.- Mature T/NK-cell lymphoma
C85.- Other Unspecified B-cell lymphomas
C86.- Other specified T/NK-cell lymphomas
C88.- Malignant immunoproliferative diseases and certain other B-cell lymphomas
C90.- Multiple myeloma and malignant plasma cell neoplasms
C91.- Lymphoid leukemias
C92.- Myeloid leukemias
C93.- Monocytic leukemias
C94.- Other leukemias of specified cell type
C95.- Leukemias of unspecified cell type
C96.- Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue

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