ICD-9 Code 197.8
Secondary malignant neoplasm of other digestive organs and spleen
Not Valid for Submission
197.8 is a legacy non-billable code used to specify a medical diagnosis of secondary malignant neoplasm of other digestive organs and spleen. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
ICD-9: | 197.8 |
Short Description: | Sec mal neo GI NEC |
Long Description: | Secondary malignant neoplasm of other digestive organs and spleen |
Convert 197.8 to ICD-10
The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:
Code Classification
-
Neoplasms (140–239)
-
Malignant neoplasm of other and unspecified sites (190-199)
- 197 Secondary malignant neoplasm of respiratory and digestive systems
-
Malignant neoplasm of other and unspecified sites (190-199)
Information for Medical Professionals
Synonyms
- Metastasis to digestive organs
- Metastasis to pancreas of unknown primary
- Metastasis to spleen of unknown primary
- pM1a: Distant metastasis
- Secondary carcinoma of gastrointestinal tract
- Secondary carcinoma of respiratory and/or digestive systems
- 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 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 intrahepatic bile ducts
- Secondary malignant neoplasm of islets of Langerhans
- 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 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 spleen
- Secondary malignant neoplasm of stomach
- Secondary malignant neoplasm of tail of pancreas
- Secondary malignant neoplasm of thoracic esophagus
- Secondary malignant neoplasm of upper third of esophagus
- 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: Ampulla tumor invades >2 cm into pancreas and/or into other adjacent organs
- T4: Pancreas tumor extends directly to any of the following: stomach; spleen; colon; adjacent large vessels
Index to Diseases and Injuries
References found for the code 197.8 in the Index of Diseases and Injuries:
- nbsp
- alimentary canal or tract NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 159.9 197.8 230.9 211.9 235.5 239.0
- ampulla of Vater 156.2 197.8 230.8 211.5 235.3 239.0
- antrum Highmore maxillary 160.2 197.3 231.8 212.0 235.9 239.1
- pyloric 151.2 197.8 230.2 211.1 235.2 239.0
- bile or biliary tract 156.9 197.8 230.8 211.5 235.3 239.0
- canaliculi biliferi intrahepatic 155.1 197.8 230.8 211.5 235.3 239.0
- canals interlobular 155.1 197.8 230.8 211.5 235.3 239.0
- contiguous sites 156.8
- duct or passage common cystic extrahepatic 156.1 197.8 230.8 211.5 235.3 239.0
- contiguous sites with gallbladder 156.8
- interlobular 155.1 197.8 230.8 211.5 235.3 239.0
- intrahepatic 155.1 197.8 230.8 211.5 235.3 239.0
- and extrahepatic 156.9 197.8 230.8 211.5 235.3 239.0
- contiguous sites with gallbladder 156.8
- canaliculi biliary biliferi intrahepatic 155.1 197.8 230.8 211.5 235.3 239.0
- cardia gastric 151.0 197.8 230.2 211.1 235.2 239.0
- cardiac orifice stomach 151.0 197.8 230.2 211.1 235.2 239.0
- cardio esophageal junction 151.0 197.8 230.2 211.1 235.2 239.0
- cardio esophagus 151.0 197.8 230.2 211.1 235.2 239.0
- cholangiole 155.1 197.8 230.8 211.5 235.3 239.0
- choledochal duct 156.1 197.8 230.8 211.5 235.3 239.0
- common bile duct 156.1 197.8 230.8 211.5 235.3 239.0
- corpus
- gastric 151.4 197.8 230.2 211.1 235.2 239.0
- cystic bile duct common 156.1 197.8 230.8 211.5 235.3 239.0
- digestive organs system tube or tract NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 159.9 197.8 230.9 211.9 235.5 239.0- contiguous sites with peritoneum 159.8
- esophagogastric junction 151.0 197.8 230.2 211.1 235.2 239.0
- esophagus 150.9 197.8 230.1 211.0 235.5 239.0
- abdominal 150.2 197.8 230.1 211.0 235.5 239.0
- cervical 150.0 197.8 230.1 211.0 235.5 239.0
- contiguous sites 150.8
- distal third 150.5 197.8 230.1 211.0 235.5 239.0
- lower third 150.5 197.8 230.1 211.0 235.5 239.0
- middle third . 150.4 197.8 230.1 211.0 235.5 239.0
- proximal third 150.3 197.8 230.1 211.0 235.5 239.0
- specified part NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 150.8 197.8 230.1 211.0 235.5 239.0
- thoracic 150.1 197.8 230.1 211.0 235.5 239.0
- upper third 150.3 197.8 230.1 211.0 235.5 239.0
- extrahepatic bile duct 156.1 197.8 230.8 211.5 235.3 239.0
- contiguous sites with gallbladder 156.8
- fundus
- stomach 151.3 197.8 230.2 211.1 235.2 239.0
- gall duct extrahepatic . 156.1 197.8 230.8 211.5 235.3 239.0
- intrahepatic 155.1 197.8 230.8 211.5 235.3 239.0
- gallbladder 156.0 197.8 230.8 211.5 235.3 239.0
- contiguous sites with extrahepatic bile ducts 156.8
- gastrocolic. 159.8 197.8 230.9 211.9 235.5 239.0
- gastroesophageal junction. 151.0 197.8 230.2 211.1 235.2 239.0
- gastrointestinal tract NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 159.9 197.8 230.9 211.9 235.5 239.0
- hepatic 155.2 197.7 230.8 211.5 235.3 239.0
- duct bile 156.1 197.8 230.8 211.5 235.3 239.0
- insular tissue pancreas 157.4 197.8 230.9 211.7 235.5 239.0
- brain 191.0 198.3 225.0 237.5 239.6
- intestine intestinal 159.0 197.8 230.7 211.9 235.2 239.0
- large 153.9 197.5 230.3 211.3 235.2 239.0
- appendix 153.5 197.5 230.3 211.3 235.2 239.0
- caput coli 153.4 197.5 230.3 211.3 235.2 239.0
- cecum 153.4 197.5 230.3 211.3 235.2 239.0
- colon 153.9 197.5 230.3 211.3 235.2 239.0
- and rectum 154.0 197.5 230.4 211.4 235.2 239.0
- ascending 153.6 197.5 230.3 211.3 235.2 239.0
- caput 153.4 197.5 230.3 211.3 235.2 239.0
- contiguous sites 153.8
- descending 153.2 197.5 230.3 211.3 235.2 239.0
- distal 153.2 197.5 230.3 211.3 235.2 239.0
- left 153.2 197.5 230.3 211.3 235.2 239.0
- pelvic 153.3 197.5 230.3 211.3 235.2 239.0
- right 153.6 197.5 230.3 211.3 235.2 239.0
- sigmoid flexure 153.3 197.5 230.3 211.3 235.2 239.0
- transverse 153.1 197.5 230.3 211.3 235.2 239.0
- contiguous sites 153.8
- hepatic flexure 153.0 197.5 230.3 211.3 235.2 239.0
- ileocecum ileocecal coil valve 153.4 197.5 230.3 211.3 235.2 239.0
- sigmoid flexure lower upper 153.3 197.5 230.3 211.3 235.2 239.0
- splenic flexure 153.7 197.5 230.3 211.3 235.2 239.0
- small 152.9 197.4 230.7 211.2 235.2 239.0
- contiguous sites 152.8
- duodenum 152.0 197.4 230.7 211.2 235.2 239.0
- ileum 152.2 197.4 230.7 211.2 235.2 239.0
- jejunum 152.1 197.4 230.7 211.2 235.2 239.0
- large 153.9 197.5 230.3 211.3 235.2 239.0
- intrahepatic bile duct 155.1 197.8 230.8 211.5 235.3 239.0
- islands or islets of Langerhans 157.4 197.8 230.9 211.7 235.5 239.0
- junction
- cardioesophageal 151.0 197.8 230.2 211.1 235.2 239.0
- esophagogastric 151.0 197.8 230.2 211.1 235.2 239.0
- gastroesophageal 151.0 197.8 230.2 211.1 235.2 239.0
- Langerhans islands or islets 157.4 197.8 230.9 211.7 235.5 239.0
- pancreas 157.9 197.8 230.9 211.6 235.5 239.0
- body 157.1 197.8 230.9 211.6 235.5 239.0
- contiguous sites 157.8
- duct of Santorini of Wirsung 157.3 197.8 230.9 211.6 235.5 239.0
- ectopic tissue 157.8 197.8 230.9 211.6 235.5 239.0
- head 157.0 197.8 230.9 211.6 235.5 239.0
- islet cells 157.4 197.8 230.9 211.7 235.5 239.0
- NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular.k 157.8 197.8 230.9 211.6 235.5 239.0
- tail 157.2 197.8 230.9 211.6 235.5 239.0
- prepylorus 151.1 197.8 230.2 211.1 235.2 239.0
- pyloric
- antrum 151.2 197.8 230.2 211.1 235.2 239.0
- canal 151.1 197.8 230.2 211.1 235.2 239.0
- pylorus 151.1 197.8 230.2 211.1 235.2 239.0
- Santorini s duct 157.3 197.8 230.9 211.6 235.5 239.0
- sphincter
- of Oddi 156.1 197.8 230.8 211.5 235.3 239.0
- spleen splenic NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 159.1 197.8 230.9 211.9 235.5 239.0- flexure colon 153.7 197.5 230.3 211.3 235.2 239.0
- stomach 151.9 197.8 230.2 211.1 235.2 239.0
- antrum pyloric 151.2 197.8 230.2 211.1 235.2 239.0
- body 151.4 197.8 230.2 211.1 235.2 239.0
- cardia 151.0 197.8 230.2 211.1 235.2 239.0
- cardiac orifice 151.0 197.8 230.2 211.1 235.2 239.0
- contiguous sites 151.8
- corpus 151.4 197.8 230.2 211.1 235.2 239.0
- fundus 151.3 197.8 230.2 211.1 235.2 239.0
- greater curvature NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 151.6 197.8 230.2 211.1 235.2 239.0
- lesser curvature NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 151.5 197.8 230.2 211.1 235.2 239.0
- prepylorus 151.1 197.8 230.2 211.1 235.2 239.0
- pylorus 151.1 197.8 230.2 211.1 235.2 239.0
- wall NEC NEC "Not elsewhere classifiable"
This abbreviation in the index represents “other specified” when a specific code is not available for a condition the index directs the coder to the “other specified” code in the tabular. 151.9 197.8 230.2 211.1 235.2 239.0
- Vater s ampulla 156.2 197.8 230.8 211.5 235.3 239.0
- Wirsung s duct 157.3 197.8 230.9 211.6 235.5 239.0
- alimentary canal or tract NEC NEC "Not elsewhere classifiable"
ICD-9 Footnotes
General Equivalence Map Definitions
The ICD-9 and ICD-10 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.
Index of Diseases and Injuries Definitions
- And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
- 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.
- Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
- Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
- NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
- See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
- See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
- 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.