ICD-10 Diagnosis Code C78.4

Secondary malignant neoplasm of small intestine

Diagnosis Code C78.4

ICD-10: C78.4
Short Description: Secondary malignant neoplasm of small intestine
Long Description: Secondary malignant neoplasm of small intestine
This is the 2017 version of the ICD-10-CM diagnosis code C78.4

Code Classification
  • Neoplasms
    • Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
      • Secondary malignant neoplasm of resp and digestive organs (C78)

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code C78.4 is grouped in the following Diagnostic Related Group(s) (MS-DRG v33.0)


Convert to ICD-9 Additional informationCallout TooltipGeneral Equivalence Map
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.
  • 197.4 - Sec malig neo sm bowel

  • Malignant tumor of ileum
  • Malignant tumor of ileum
  • Malignant tumor of jejunum
  • Malignant tumor of Meckel's diverticulum
  • Metastasis to small intestine of unknown primary
  • Neoplasm of Meckel's diverticulum
  • Secondary malignant neoplasm of duodenum
  • Secondary malignant neoplasm of ileum
  • Secondary malignant neoplasm of jejunum
  • Secondary malignant neoplasm of Meckel's diverticulum
  • Secondary malignant neoplasm of small intestine

Information for Patients

Intestinal Cancer

Also called: Duodenal cancer, Ileal cancer, Jejunal cancer, Small intestine cancer

Your small intestine is part of your digestive system. It is a long tube that connects your stomach to your large intestine. Intestinal cancer is rare, but eating a high-fat diet or having Crohn's disease, celiac disease, or a history of colonic polyps can increase your risk.

Possible signs of small intestine cancer include

  • Abdominal pain
  • Weight loss for no reason
  • Blood in the stool
  • A lump in the abdomen

Imaging tests that create pictures of the small intestine and the area around it can help diagnose intestinal cancer and show whether it has spread.

Surgery is the most common treatment. Additional options include chemotherapy, radiation therapy, or a combination.

NIH: National Cancer Institute

  • Abdominal radiation - discharge
  • After chemotherapy - discharge
  • Enteroscopy
  • Radiation enteritis
  • Small bowel resection
  • Small bowel resection - discharge
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

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