The substages of liver cancer are based on three variables:
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C22. 0 - Liver cell carcinoma | ICD-10-CM.
Secondary malignant neoplasm of other specified sites C79. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C79. 89 became effective on October 1, 2021.
C80. 1 - Malignant (primary) neoplasm, unspecified | ICD-10-CM.
ICD-10-CM Code for Malignant neoplasm of liver, primary, unspecified as to type C22. 8.
Hepatomegaly, not elsewhere classified R16. 0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R16. 0 became effective on October 1, 2021.
9 Secondary malignant neoplasm, unspecified site.
1. If the documentation states the cancer is a metastatic cancer, but does not state the site of the metastasis, the coder will assign a code for the primary cancer, followed by code C79. 9 secondary malignant neoplasm of unspecified site.
When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary site only, the secondary neoplasm is designated as the principal diagnosis even though the primary malignancy is still present.
Secondary malignant neoplasm is a malignant tumor whose cause is the treatment (usually radiation or chemotherapy) which was used for a prior tumor. It must be distinguished from Metastasis from the prior tumor or a relapse from it since a secondary malignant neoplasm is a different tumor. Secondary malignant neoplasm.
Hepatocellular carcinoma (HCC) is one of the most common cancers worldwide, with the highest incidence in regions with high prevalence of chronic viral hepatitis infection, especially hepatitis B infection. HCC commonly metastasises to lungs, lymph nodes, adrenal gland and bones, including the skull.
Secondary malignant neoplasm of liver and intrahepatic bile duct. C78. 7 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
197.7 is a legacy non-billable code used to specify a medical diagnosis of malignant neoplasm of liver, secondary. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
This makes it harder to treat. Doctors use tests that examine the liver and the blood to diagnose liver cancer. Treatment options include surgery, radiation, chemotherapy, or liver transplantation.
Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons. Primary liver cancer starts in the liver. Metastatic liver cancer starts somewhere else and spreads to your liver.
ICD-9-CM 199.1 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 199.1 should only be used for claims with a date of service on or before September 30, 2015. For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes).
Malignant tumor involving an organ by direct extension from uterine cervix. Malignant tumor involving an organ by direct extension from uterus. Malignant tumor involving an organ by direct extension from vagina. Malignant tumor involving an organ by separate metastasis from bladder.
Malignant neoplasm. Malignant neoplasm associated with AIDS. Malignant neoplastic disease. Malignant neoplastic disease in pregnancy. Malignant neoplastic disease postpartum. Malignant tumor involving an organ by direct extension from bladder. Malignant tumor involving an organ by direct extension from endometrium.
If the liver biopsy is done by a laparoscope, assign code 50.14. If the physician performs a needle biopsy of the liver through a laparotomy, assign codes 54.11, Exploratory laparotomy, and 50.11, Closed liver biopsy ( AHA Coding Clinic for ICD-9-CM, 1988, fourth quarter, page 12). The closed biopsy code will be assigned because the biopsy technique used to obtain the tissue sample involved a needle despite the procedure being done through an open approach. Open or wedge biopsy is classified to code 50.12. Transjugular or transvenous liver biopsy is assigned to code 50.13.
Thin needles are inserted into the tumor and heated with an electric current. Open ablation of the liver is classified to code 50.23. Code 50.24 identifies percutaneous ablation of the liver. Code 50.25 is for laparoscopic ablation of the liver, and other and unspecified ablation of the liver goes to 50.26.
The following are types of primary liver cancer: • Hepatocellular carcinoma (155.0), the most common form, starts in the hepatocytes. • Cholangiocarcinoma (155.1) begins in small bile ducts in the liver. Cholangiocarcinoma combined with hepatocellular carcinoma is classified to code 155.0.
Cholangiocarcinoma combined with hepatocellular carcinoma is classified to code 155.0. • Hepatoblastoma (155.0) may be caused by an abnormal gene. This type affects children younger than the age of 4. • Angiosarcoma (155.0) or hemangiosarcoma (155.0) begins in the blood vessels of the liver. Benign Liver Tumors.
Benign Liver Tumors. The following are types of benign liver tumors: • Hemangioma (228.04) most commonly affects the liver’s blood vessels. • Hepatic adenoma (211.5) originates in hepatocytes and may be caused by birth control pills. • Focal nodular hyperplasia is a combination of several types of cells.
Secondary liver cancer, also called metastasis to the liver, is classified to code 197.7. If liver cancer is documented with no further specification stating primary or secondary, assign code 155.2. It is appropriate to query the physician for clarification if the cancer is not specified as primary or metastatic.
Liver cancer, also documented as primary liver cancer or hepatoma, is usually caused by cirrhosis or scarring of the liver, which may be due to alcohol abuse, autoimmune diseases of the liver, hepatitis B or C, or hemochromatosis. Typically, cancer found in the liver has metastasized there from another part of the body.
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.
The 2022 edition of ICD-10-CM C78.7 became effective on October 1, 2021.
A malignant neoplasm that has spread to the liver from another (primary) anatomic site. Such malignant neoplasms may be carcinomas (e.g. Breast, colon), lymphomas, melanomas, or sarcomas. Cancer that has spread from the original (primary) tumor to the liver.