ICD-10-CM Code C77.5

Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes

Version 2021 Billable Code Neoplasm Malignant Secondary

Valid for Submission

C77.5 is a billable code used to specify a medical diagnosis of secondary and unspecified malignant neoplasm of intrapelvic lymph nodes. The code is valid for the fiscal year 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code C77.5 might also be used to specify conditions or terms like anal canal tnm finding, anal canal tnm finding, malignant neoplasm of parametrium, n1: metastasis in perirectal lymph node or nodes, n2: metastasis to unilateral internal iliac and/or inguinal lymph node, neoplasm of obturator lymph nodes, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) hypogastric ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) iliac ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) intrapelvic ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) obturator ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) paracervical ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) parametrial ; Neoplasm, neoplastic lymph, lymphatic channel NEC gland (secondary) pelvic ; etc

ICD-10:C77.5
Short Description:Secondary and unsp malignant neoplasm of intrapelv nodes
Long Description:Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Anal canal TNM finding
  • Anal canal TNM finding
  • Malignant neoplasm of parametrium
  • N1: Metastasis in perirectal lymph node or nodes
  • N2: Metastasis to unilateral internal iliac and/or inguinal lymph node
  • Neoplasm of obturator lymph nodes
  • Neoplasm of parametrial lymph nodes
  • Neoplasm of paravaginal lymph nodes
  • Neoplasm of prostate regional lymph node staging category pN1: Metastasis in regional node
  • pN1
  • pN1
  • pN1
  • pN2
  • pN2
  • pN2: Bilateral regional lymph node metastasis
  • pN2: Metastasis in unilateral internal iliac AND/OR inguinal lymph node
  • pN3: Metastasis in perirectal and inguinal lymph nodes AND/OR bilateral internal iliac AND/OR inguinal lymph nodes
  • Secondary malignant neoplasm of iliac lymph nodes
  • Secondary malignant neoplasm of intrapelvic lymph nodes
  • Secondary malignant neoplasm of obturator lymph nodes
  • Secondary malignant neoplasm of parametrial lymph nodes
  • Secondary malignant neoplasm of parametrium
  • Secondary malignant neoplasm of pararectal lymph nodes
  • Secondary malignant neoplasm of paravaginal lymph nodes
  • Secondary malignant neoplasm of pelvic peritoneum
  • T3 and/or N1 : Ovarian tumor involves one or both ovaries with microscopically confirmed peritoneal metastasis outside the pelvis and/or regional lymph node metastasis
  • T3c : Fallopian tube/ovarian tumor with peritoneal metastasis beyond pelvis > 2 cm in greatest dimension and/or regional lymph node metastasis

Diagnostic Related Groups

The ICD-10 code C77.5 is grouped in the following groups for version MS-DRG V38.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2021.

  • 820 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC
  • 821 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC
  • 822 - LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Convert C77.5 to ICD-9

  • 196.6 - Mal neo lymph-intrapelv

Code Classification

  • Neoplasms (C00–D48)
    • Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
      • Secondary and unspecified malignant neoplasm of lymph nodes (C77)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021

Table of Neoplasms

The code C77.5 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.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »hypogastric
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »iliac
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »intrapelvic
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »obturator
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »paracervical
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »parametrial
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »pelvic
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »presymphysial
C77.5D36.0D48.7D49.89
»Neoplasm, neoplastic
  »lymph, lymphatic channel NEC
    »gland (secondary)
      »sacral
C77.5D36.0D48.7D49.89

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

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