Malignant neoplasm of ascending colon
ICD-10 C18.2 is a billable code used to indicate a diagnosis of malignant neoplasm of ascending colon.
C18.2 refers to a malignant neoplasm located in the ascending colon, which is the first part of the large intestine. Colorectal cancer, including cancers of the ascending colon, is a significant health concern and is often diagnosed through screening methods such as colonoscopy. The disease can present with various symptoms, including abdominal pain, changes in bowel habits, and unexplained weight loss. Staging of colorectal cancer is crucial for determining the extent of the disease and guiding treatment options, with stages ranging from I (localized) to IV (metastatic). The presence of microsatellite instability (MSI) can indicate a specific subtype of colorectal cancer that may respond differently to treatment. Surgical approaches for C18.2 typically involve resection of the affected segment of the colon, often accompanied by lymphadenectomy to assess for regional spread. Adjuvant therapies, including chemotherapy and targeted therapies, may also be indicated based on the tumor's characteristics and staging.
Detailed pathology reports, staging information, and treatment plans.
Initial diagnosis of colorectal cancer, treatment planning, and follow-up care.
Ensure accurate documentation of tumor markers and response to treatment.
Endoscopy reports, biopsy results, and imaging studies.
Screening colonoscopies, polypectomy, and management of gastrointestinal symptoms.
Document findings related to the ascending colon and any interventions performed.
Used when a patient undergoes surgical resection of the ascending colon due to malignancy.
Operative report detailing the procedure performed and findings.
Oncology and surgery must coordinate documentation for accurate coding.
Microsatellite instability (MSI) is a condition of genetic hypermutability that can affect treatment decisions. Tumors with MSI may respond better to certain immunotherapies, making it crucial to document this finding in cases of C18.2.
