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Home/Diagnosis/ICD-10 Coding for Carcinoid Syndrome

ICD-10 Coding for Carcinoid Syndrome

C7A.012
E34.0

Complete ICD-10-CM coding and documentation guide for icd-10 coding for carcinoid syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Neuroendocrine Tumor Syndrome
Serotonin Syndrome (related to carcinoid)
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Key Information: ICD-10 Coding for Carcinoid Syndrome

Essential facts and insights about ICD-10 Coding for Carcinoid Syndrome

Use ICD-10 code C7A.012 for malignant carcinoid tumor of the ileum, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant carcinoid tumor of the ileum

Billable Code
C7A.012
Billable

Diagnostic Criteria

  • • Histological confirmation of ileal carcinoid tumor
  • • Imaging evidence of tumor in the ileum

Applicable To

  • • Malignant carcinoid tumor of ileum

Important Notes

  • • Ensure tumor location is specified to avoid unspecified coding.

Carcinoid syndrome

Non-Billable
E34.0
Non-Billable

Diagnostic Criteria

  • • Elevated 5-HIAA levels
  • • Presence of flushing and diarrhea

Applicable To

  • • Symptoms such as flushing and diarrhea due to carcinoid tumor

Important Notes

  • • Always document the tumor causing the syndrome.
Ancillary Codes

Additional codes that may be used with this diagnosis

E34.0

Carcinoid syndrome

Use to document symptoms like flushing and diarrhea associated with the tumor.

Frequently Asked Questions

What is the ICD-10 code for carcinoid syndrome?

The ICD-10 code for carcinoid syndrome is E34.0, used when symptoms like flushing and diarrhea are present due to a neuroendocrine tumor.

How to code carcinoid syndrome with heart involvement?

Use E34.01 for carcinoid heart syndrome, documenting echocardiogram findings like tricuspid valve thickening.

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