ICD-10 Diagnosis Code C78.4
Secondary malignant neoplasm of small intestine
Diagnosis Code C78.4
Short Description: Secondary malignant neoplasm of small intestine
Long Description: Secondary malignant neoplasm of small intestine
This is the 2019 version of the ICD-10-CM diagnosis code C78.4
Valid for Submission
The code C78.4 is valid for submission for HIPAA-covered transactions.
Code Classification
-
Neoplasms (C00–D48)
-
Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
- Secondary malignant neoplasm of resp and digestive organs (C78)
-
Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
Information for Medical Professionals
The diagnosis code C78.4 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)
- 374 - DIGESTIVE MALIGNANCY WITH MCC
- 375 - DIGESTIVE MALIGNANCY WITH CC
- 376 - DIGESTIVE MALIGNANCY WITHOUT CC/MCC
Convert to ICD-9
General Equivalence MapThe 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
Synonyms
- Ampulla of Vater TNM finding
- Malignant tumor of jejunum
- Malignant tumor of Meckel's diverticulum
- Metastasis to small intestine of unknown primary
- Neoplasm of Meckel's diverticulum
- pT2: Tumor invades duodenal wall
- 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
- T2: Ampulla tumor invades duodenal wall
- T3: Pancreatic tumor extends directly to any of the following: duodenum; bile duct; peripancreatic tissues
- Tumor invades beyond pancreatic capsule to adjacent structures AND/OR organs
- Tumor invades beyond pancreatic capsule to duodenum
Table of Neoplasms
The code C78.4 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.
| Neoplasm, neoplastic | Malignant Primary |
Malignant Secondary |
CaInSitu | Benign | Uncertain Behavior |
Unspecified Behavior |
|---|---|---|---|---|---|---|
| »duodenojejunal junction | C17.8 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
| »duodenum | C17.0 | C78.4 | D01.49 | D13.2 | D37.2 | D49.0 |
| »ileum | C17.2 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
| »intestine, intestinal »small | C17.9 | C78.4 | D01.40 | D13.30 | D37.2 | D49.0 |
| »intestine, intestinal »small »duodenum | C17.0 | C78.4 | D01.49 | D13.2 | D37.2 | D49.0 |
| »intestine, intestinal »small »ileum | C17.2 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
| »intestine, intestinal »small »jejunum | C17.1 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
| »jejunum | C17.1 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
| »Meckel diverticulum, malignant | C17.3 | C78.4 | D01.49 | D13.39 | D37.2 | D49.0 |
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 (Medical Encyclopedia)
- After chemotherapy - discharge (Medical Encyclopedia)
- Enteroscopy (Medical Encyclopedia)
- Radiation enteritis (Medical Encyclopedia)
- Small bowel resection (Medical Encyclopedia)
- Small bowel resection - discharge (Medical Encyclopedia)
- 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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