2022 ICD-10-CM Code C78.4

Secondary malignant neoplasm of small intestine

Version 2021

Valid for Submission

ICD-10:C78.4
Short Description:Secondary malignant neoplasm of small intestine
Long Description:Secondary malignant neoplasm of small intestine

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)

C78.4 is a billable diagnosis code used to specify a medical diagnosis of secondary malignant neoplasm of small intestine. The code C78.4 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.

The ICD-10-CM code C78.4 might also be used to specify conditions or terms like 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 , etc.

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: duodenojejunal junction ; duodenum ; ileum ; intestine, intestinal small ; intestine, intestinal small duodenum ; intestine, intestinal small ileum ; intestine, intestinal small jejunum ; etc

Approximate Synonyms

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

Convert C78.4 to ICD-9 Code

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.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»duodenojejunal junction
C17.8C78.4D01.49D13.39D37.2D49.0
»duodenum
C17.0C78.4D01.49D13.2D37.2D49.0
»ileum
C17.2C78.4D01.49D13.39D37.2D49.0
»intestine, intestinal
  »small
C17.9C78.4D01.40D13.30D37.2D49.0
»intestine, intestinal
  »small
    »duodenum
C17.0C78.4D01.49D13.2D37.2D49.0
»intestine, intestinal
  »small
    »ileum
C17.2C78.4D01.49D13.39D37.2D49.0
»intestine, intestinal
  »small
    »jejunum
C17.1C78.4D01.49D13.39D37.2D49.0
»jejunum
C17.1C78.4D01.49D13.39D37.2D49.0
»Meckel diverticulum, malignant
C17.3C78.4D01.49D13.39D37.2D49.0

Information for Patients


Intestinal 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

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


[Learn More in MedlinePlus]

Code History

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