tci General Surgery Coding Alert - 2021 Issue Q3

Reader Questions: Follow Excludes Note to C7A.0

Question: Our surgeon performed an ileum biopsy, and the pathology report states a diagnosis of “malignant carcinoid tumor,” with code C17.2 – is that correct? Nevada Subscriber Answer: No, C17.2 (Malignant neoplasm of ileum) is not the correct diagnosis code for a malignant carcinoid tumor. Despite the fact that malignant carcinoid tumor is a malignant neoplasm, code C17.2 has an Excludes 1 note listed under the parent code for malignant carcinoid tumors of the small intestine that refers coders to C7A.0. In this case, you should report the diagnosis as C7A.012 (Malignant...

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