ICD-10 Diagnosis Code C38.0

Malignant neoplasm of heart

Diagnosis Code C38.0

ICD-10: C38.0
Short Description: Malignant neoplasm of heart
Long Description: Malignant neoplasm of heart
This is the 2019 version of the ICD-10-CM diagnosis code C38.0

Valid for Submission
The code C38.0 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
      • Malignant neoplasm of heart, mediastinum and pleura (C38)


Version 2019 Billable Code Neoplasm Malignant Primary

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code C38.0 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 314 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC
  • 315 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC
  • 316 - OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Convert to ICD-9
  • 164.1 - Malignant neopl heart (Approximate Flag)

Synonyms
  • Angiosarcoma
  • Malignant tumor of endocardium
  • Malignant tumor of heart
  • Malignant tumor of myocardium
  • Neoplasm of endocardium
  • Neoplasm of epicardium
  • Neoplasm of myocardium
  • Primary angiosarcoma of heart
  • Primary malignant neoplasm of blood vessel of thorax
  • Primary malignant neoplasm of endocardium
  • Primary malignant neoplasm of epicardium
  • Primary malignant neoplasm of heart
  • Primary malignant neoplasm of myocardium
  • Primary malignant neoplasm of pericardium

Tabular List of Diseases and Injuries
References found for the code C38.0 in the Tabular List of Diseases and Injuries:

  • Inclusion Terms:
    • Malignant neoplasm of pericardium
  • Type 1 Excludes Notes:
    • malignant neoplasm of great vessels (C49.3)

Table of Neoplasms

The code C38.0 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»atrium, cardiac
C38.0C79.89D15.1D48.7D49.89
»endocardium
C38.0C79.89D15.1D48.7D49.89
»epicardium
C38.0C79.89D15.1D48.7D49.89
»heart
C38.0C79.89D15.1D48.7D49.89
»myocardium
C38.0C79.89D15.1D48.7D49.89
»myopericardium
C38.0C79.89D15.1D48.7D49.89
»pericardium
C38.0C79.89D15.1D48.7D49.89
»ventricle (cerebral) (floor) (lateral) (third)
  »cardiac (left) (right)
C38.0C79.89D15.1D48.7D49.89

Information for Patients


Cancer

Also called: Carcinoma, Malignancy, Neoplasms, Tumor

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute

  • Cancer (Medical Encyclopedia)
  • Cancer and lymph nodes (Medical Encyclopedia)
  • Cancer treatment -- early menopause (Medical Encyclopedia)
  • Cancer treatment: preventing infection (Medical Encyclopedia)
  • Cancer treatments (Medical Encyclopedia)
  • How to research cancer (Medical Encyclopedia)
  • How to tell your child that you have cancer (Medical Encyclopedia)
  • Hyperthermia for treating cancer (Medical Encyclopedia)
  • Laser therapy for cancer (Medical Encyclopedia)
  • Photodynamic therapy for cancer (Medical Encyclopedia)
  • Targeted therapies for cancer (Medical Encyclopedia)
  • Understanding your cancer prognosis (Medical Encyclopedia)
  • Your cancer care team (Medical Encyclopedia)
  • Your cancer diagnosis: Do you need a second opinion? (Medical Encyclopedia)

[Read More]

Heart Diseases

Also called: Cardiac diseases

If you're like most people, you think that heart disease is a problem for others. But heart disease is the number one killer in the U.S. It is also a major cause of disability. There are many different forms of heart disease. The most common cause of heart disease is narrowing or blockage of the coronary arteries, the blood vessels that supply blood to the heart itself. This is called coronary artery disease and happens slowly over time. It's the major reason people have heart attacks.

Other kinds of heart problems may happen to the valves in the heart, or the heart may not pump well and cause heart failure. Some people are born with heart disease.

You can help reduce your risk of heart disease by taking steps to control factors that put you at greater risk:

  • Control your blood pressure
  • Lower your cholesterol
  • Don't smoke
  • Get enough exercise

NIH: National Heart, Lung, and Blood Institute

  • Aspirin and heart disease (Medical Encyclopedia)
  • Being active when you have heart disease (Medical Encyclopedia)
  • Electrocardiogram (Medical Encyclopedia)
  • Exercise stress test (Medical Encyclopedia)
  • Heart disease - risk factors (Medical Encyclopedia)
  • Heart disease and depression (Medical Encyclopedia)
  • Understanding cardiovascular disease (Medical Encyclopedia)
  • Warning signs and symptoms of heart disease (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
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.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

Previous Code
C38
Next Code
C38.1