Diagnosis Code C38.4
Information for Medical Professionals
The diagnosis code C38.4 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)
- 180 - RESPIRATORY NEOPLASMS WITH MCC
- 181 - RESPIRATORY NEOPLASMS WITH CC
- 182 - RESPIRATORY NEOPLASMS WITHOUT CC/MCC
Convert to ICD-9
- 163.9 - Malig neopl pleura NOS (Approximate Flag)
- Malignant neoplasm of parietal pleura
- Malignant neoplasm of visceral pleura
- Malignant tumor of pleura
- Neoplasm of parietal pleura
- Neoplasm of visceral pleura
- Primary malignant neoplasm of parietal pleura
- Primary malignant neoplasm of pleura
- Primary malignant neoplasm of visceral pleura
- T1: Tumor limited to ipsilateral parietal and/or visceral pleura
- T2: Pleural tumor invades any of the following: ipsilateral lung, endothoracic fascia, diaphragm, or pericardium
- T3: Pleural tumor invades any of the following: ipsilateral chest wall muscle, ribs, or media-stinal organs or tissues
- T4: Pleural tumor directly extends to any of the following: contralateral pleura, contralateral lung, peritoneum, intra-abdominal organs, cervical tissues
Table of Neoplasms
The code C38.4 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.
|»pleura, pleural (cavity)||C38.4||C78.2||D19.0||D38.2||D49.1|
|»pleura, pleural (cavity)|
|»pleura, pleural (cavity)|
Information for Patients
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
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Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. Between the layers of the pleura is a very thin space. Normally it's filled with a small amount of fluid. The fluid helps the two layers of the pleura glide smoothly past each other as your lungs breathe air in and out.
Disorders of the pleura include
- Pleurisy - inflammation of the pleura that causes sharp pain with breathing
- Pleural effusion - excess fluid in the pleural space
- Pneumothorax - buildup of air or gas in the pleural space
- Hemothorax - buildup of blood in the pleural space
Many different conditions can cause pleural problems. Viral infection is the most common cause of pleurisy. The most common cause of pleural effusion is congestive heart failure. Lung diseases, like COPD, tuberculosis, and acute lung injury, cause pneumothorax. Injury to the chest is the most common cause of hemothorax. Treatment focuses on removing fluid, air, or blood from the pleural space, relieving symptoms, and treating the underlying condition.
NIH: National Heart, Lung, and Blood Institute
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- Pleurisy (Medical Encyclopedia)
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.
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.