ICD-10 Diagnosis Code C78.89

• 374 - DIGESTIVE MALIGNANCY WITH MCC
• 375 - DIGESTIVE MALIGNANCY WITH CC
• 376 - DIGESTIVE MALIGNANCY WITHOUT CC/MCC

General Equivalence Map
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.

• 197.8 - Sec mal neo GI NEC (approximate) 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.

• Ampulla of Vater TNM finding
• Extrahepatic bile ducts TNM finding
• Hypopharyngeal TNM finding
• Lymphoma finding
• Lymphoma involves spleen
• Malignant melanoma metastatic to pancreas
• Malignant tumor of ampulla of Vater
• Malignant tumor of body of pancreas
• Malignant tumor of body of stomach
• Malignant tumor of cervical part of esophagus
• Malignant tumor of endocrine pancreas
• Malignant tumor of fundus of stomach
• Malignant tumor of gallbladder
• Malignant tumor of greater curve of stomach
• Malignant tumor of head of pancreas
• Malignant tumor of lesser curve of stomach
• Malignant tumor of middle third of esophagus
• Malignant tumor of pancreatic duct
• Malignant tumor of pancreatic duct
• Malignant tumor of pyloric antrum
• Malignant tumor of pylorus
• Malignant tumor of tail of pancreas
• Malignant tumor of thoracic part of esophagus
• Malignant tumor of tonsillar fossa
• Malignant tumor of upper third of esophagus
• Metastasis to pancreas of unknown primary
• Metastasis to spleen of unknown primary
• Metastatic malignant melanoma
• Neoplasm of body of pancreas
• Neoplasm of cervical esophagus
• Neoplasm of cystic duct
• Neoplasm of diaphragm
• Neoplasm of fundus of stomach
• Neoplasm of greater curvature of stomach
• Neoplasm of head of pancreas
• Neoplasm of lesser curvature of stomach
• Neoplasm of middle third of esophagus
• Neoplasm of muscle of thorax
• Neoplasm of pyloric antrum
• Neoplasm of pylorus
• Neoplasm of tail of pancreas
• Neoplasm of thoracic esophagus
• Neoplasm of tonsillar fossa
• Neoplasm of upper third of esophagus
• pT3: Tumor invades pancreas
• pT3: Tumor invades the liver, gallbladder, pancreas, and/or ipsilateral branches of the portal vein
• pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue
• Pyloric mass
• Secondary carcinoma of gastrointestinal tract
• Secondary malignant neoplasm of abdominal esophagus
• Secondary malignant neoplasm of ampulla of Vater
• Secondary malignant neoplasm of biliary tract
• Secondary malignant neoplasm of body of pancreas
• Secondary malignant neoplasm of body of stomach
• Secondary malignant neoplasm of cardia of stomach
• Secondary malignant neoplasm of cervical esophagus
• Secondary malignant neoplasm of common bile duct
• Secondary malignant neoplasm of cystic duct
• Secondary malignant neoplasm of diaphragm
• Secondary malignant neoplasm of duodenum
• Secondary malignant neoplasm of esophagus
• Secondary malignant neoplasm of extrahepatic bile ducts
• Secondary malignant neoplasm of fundus of stomach
• Secondary malignant neoplasm of gallbladder
• Secondary malignant neoplasm of gastrointestinal tract
• Secondary malignant neoplasm of greater curvature of stomach
• Secondary malignant neoplasm of head of pancreas
• Secondary malignant neoplasm of intestinal tract
• Secondary malignant neoplasm of islets of Langerhans
• Secondary malignant neoplasm of lateral wall of oropharynx
• Secondary malignant neoplasm of lesser curvature of stomach
• Secondary malignant neoplasm of lower third of esophagus
• Secondary malignant neoplasm of middle third of esophagus
• Secondary malignant neoplasm of muscle of thorax
• Secondary malignant neoplasm of muscle of trunk
• Secondary malignant neoplasm of pancreas
• Secondary malignant neoplasm of pancreatic duct
• Secondary malignant neoplasm of pyloric antrum
• Secondary malignant neoplasm of pylorus
• Secondary malignant neoplasm of respiratory and digestive systems
• Secondary malignant neoplasm of small intestine
• Secondary malignant neoplasm of spleen
• Secondary malignant neoplasm of stomach
• Secondary malignant neoplasm of tail of pancreas
• Secondary malignant neoplasm of thoracic esophagus
• Secondary malignant neoplasm of tonsil
• Secondary malignant neoplasm of tonsillar fossa
• Secondary malignant neoplasm of upper third of esophagus
• Secondary malignant neoplasm of Waldeyer's ring
• T3: Aerodigestive tract tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, pre-epiglottic tissues, deep base of tongue
• T3: Ampulla tumor invades 2 cm or less into pancreas
• T3: Pancreatic tumor extends directly to any of the following: duodenum; bile duct; peripancreatic tissues
• T4: Aerodigestive tract tumor invades adjacent structures
• T4: Ampulla tumor invades >2 cm into pancreas and/or into other adjacent organs
• T4: Lung tumor of any size that invades any of the following: mediastinum; heart; great vessels; trachea; esophagus; vertebral body; carina
• T4: Pancreas tumor extends directly to any of the following: stomach; spleen; colon; adjacent large vessels
• T4: Tumor invades through cricoid or thyroid cartilage and/or extends into other tissues beyond the larynx
• T4: Tumor invades through thyroid cartilage, and/or extends into soft tissues of the neck, thyroid, and/or esophagus
• Tumor invades beyond pancreatic capsule to adjacent structures AND/OR organs
• Tumor invades beyond pancreatic capsule to adjacent structures AND/OR organs
• Tumor invades beyond pancreatic capsule to adjacent structures AND/OR organs
• Tumor invades beyond pancreatic capsule to bile duct
• Tumor invades beyond pancreatic capsule to spleen
• Tumor invades beyond pancreatic capsule to stomach

• Code Also: "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.
  • exocrine pancreatic insufficiency (K86.81)

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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