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Home/Diagnosis/ICD-10 Coding for Neuroendocrine Tumor

ICD-10 Coding for Neuroendocrine Tumor

C7A.0
C7A.1
D3A.0

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

Also Known as:
NET
Carcinoid Tumor
Islet Cell Tumor
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Key Information: ICD-10 Coding for Neuroendocrine Tumor

Essential facts and insights about ICD-10 Coding for Neuroendocrine Tumor

Use ICD-10 code C7A.0 for malignant carcinoid tumors, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant carcinoid tumors

Non-Billable
C7A.0
Non-Billable

Diagnostic Criteria

  • • Histological confirmation of malignancy
  • • Presence of metastasis

Applicable To

  • • Carcinoid tumor of the foregut
  • • Carcinoid tumor of the midgut

Important Notes

  • • Ensure differentiation between benign and malignant based on histology.

Malignant poorly differentiated neuroendocrine tumors

Billable Code
C7A.1
Billable

Diagnostic Criteria

  • • Ki-67 index >20%
  • • Presence of necrosis

Applicable To

  • • Small cell carcinoma with neuroendocrine features

Important Notes

  • • Ensure proper grading and differentiation are documented.

Benign carcinoid tumors

Non-Billable
D3A.0
Non-Billable

Diagnostic Criteria

  • • Histological confirmation of benign nature

Applicable To

  • • Benign carcinoid tumor of the appendix

Important Notes

  • • Ensure documentation clearly states benign nature.
Ancillary Codes

Additional codes that may be used with this diagnosis

E34.0

Carcinoid syndrome

Use when symptoms like flushing and diarrhea are present.

Frequently Asked Questions

What is the ICD-10 code for neuroendocrine tumor?

The ICD-10 code for malignant neuroendocrine tumors is C7A, while benign neuroendocrine tumors are coded as D3A.

How do you code a neuroendocrine tumor with carcinoid syndrome?

Code the neuroendocrine tumor using C7A.0 for malignant or D3A.0 for benign, and add E34.0 for carcinoid syndrome.

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