Block in Chapter 2
C15–C26
Malignant neoplasms of digestive organs
Excludes1
Not coded here. The listed conditions generally should not be reported together.
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- Kaposi's sarcoma of gastrointestinal sites (C46.4)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
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- gastrointestinal stromal tumors (C49.A-)
Notes
Also from chapter/block level (8 notes)
Inherited from Chapter 2 Neoplasms
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- 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. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Categories in this block 12
- C15Malignant neoplasm of esophagus
- C16Malignant neoplasm of stomach
- C17Malignant neoplasm of small intestine
- C18Malignant neoplasm of colon
- C19Malignant neoplasm of rectosigmoid junctionBillable
- C20Malignant neoplasm of rectumBillable
- C21Malignant neoplasm of anus and anal canal
- C22Malignant neoplasm of liver and intrahepatic bile ducts
- C23Malignant neoplasm of gallbladderBillable
- C24Malignant neoplasm of other and unspecified parts of biliary tract
- C25Malignant neoplasm of pancreas
- C26Malignant neoplasm of other and ill-defined digestive organs