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Home/Diagnosis/ICD-10 Coding for Pancreatic Tumor

ICD-10 Coding for Pancreatic Tumor

C25.0
C25.1
D13.6

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

Also Known as:
Pancreatic Neoplasm
Pancreatic Cancer
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Key Information: ICD-10 Coding for Pancreatic Tumor

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

Use ICD-10 code C25.0 for malignant neoplasm of head of pancreas, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of head of pancreas

Billable Code
C25.0
Billable

Diagnostic Criteria

  • • Biopsy confirms malignant adenocarcinoma in pancreatic head.

Applicable To

  • • Cancer of the head of the pancreas

Important Notes

  • • Ensure documentation specifies 'head' to avoid unspecified coding.

Malignant neoplasm of body of pancreas

Billable Code
C25.1
Billable

Applicable To

  • • Cancer of the body of the pancreas

Important Notes

  • • Document specific location to avoid unspecified coding.

Benign neoplasm of pancreas

Billable Code
D13.6
Billable

Applicable To

  • • Benign cystadenoma of pancreas

Important Notes

  • • Ensure documentation supports benign diagnosis.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z51.11

Encounter for chemotherapy

Use when patient is receiving chemotherapy for pancreatic cancer.

Frequently Asked Questions

What is the ICD-10 code for pancreatic cancer?

The ICD-10 code for pancreatic cancer varies by location: C25.0 for the head, C25.1 for the body, and C25.2 for the tail of the pancreas.

How do you code a benign pancreatic tumor?

Benign pancreatic tumors are coded as D13.6, provided pathology confirms the benign nature.

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