ICD-10 Coding for Duodenal Adenocarcinoma(C17.0)
Complete ICD-10-CM coding and documentation guide for Duodenal Adenocarcinoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Duodenal Adenocarcinoma
C17-C17.9Primary Range
Malignant neoplasm of small intestine
This range includes codes for malignant neoplasms of the small intestine, with C17.0 specifically for the duodenum.
Secondary malignant neoplasm of other and unspecified sites
This range includes codes for secondary malignant neoplasms, such as metastases from a primary duodenal adenocarcinoma.
Key Information: ICD-10 code for duodenal adenocarcinoma
Essential facts and insights about Duodenal Adenocarcinoma
Primary ICD-10-CM Code for duodenal adenocarcinoma
Decision Criteria
clinical Criteria
- Biopsy confirms adenocarcinoma in the duodenum.
documentation Criteria
- Pathology report specifies duodenal origin.
Applicable To
- Primary adenocarcinoma of the duodenum
Excludes
- Malignant neoplasm of ampulla of Vater (C24.1)
Clinical Validation Requirements
- Biopsy confirmation of adenocarcinoma
- Imaging showing duodenal mass
Code-Specific Risks
- Misclassification with ampullary or pancreatic tumors
Coding Notes
- Ensure documentation specifies the duodenal origin to avoid confusion with ampullary or pancreatic neoplasms.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Secondary malignant neoplasm of liver and intrahepatic bile duct
C78.7Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Duodenal Adenocarcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C17.0.
Impact
Clinical: Leads to potential misdiagnosis., Regulatory: Non-compliance with coding standards., Financial: May result in claim denials.
Mitigation Strategy
Use specific anatomical terms in documentation., Verify tumor origin with imaging and biopsy.
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts accuracy of cancer registry data.
Mitigation Strategy
Verify the tumor's origin through biopsy and imaging.
Impact
High risk of coding errors between duodenal and pancreatic tumors.
Mitigation Strategy
Ensure thorough documentation and verification of tumor origin.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Duodenal Adenocarcinoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Duodenal Adenocarcinoma
Use these documentation templates to ensure complete and accurate documentation for Duodenal Adenocarcinoma. These templates include all required elements for proper coding and billing.
Initial diagnosis of duodenal adenocarcinoma
Specialty: OncologyRequired Elements
- Patient history
- Imaging results
- Biopsy findings
- Treatment plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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