Malignant neoplasm of ampulla of Vater
ICD-10 C24.1 is a billable code used to indicate a diagnosis of malignant neoplasm of ampulla of vater.
The ampulla of Vater, also known as the hepatopancreatic ampulla, is a critical anatomical structure where the bile duct and pancreatic duct converge and empty into the duodenum. Malignant neoplasms of this area are relatively rare but can have significant clinical implications. These tumors often present with obstructive jaundice, weight loss, and abdominal pain. Imaging studies, particularly endoscopic retrograde cholangiopancreatography (ERCP), magnetic resonance cholangiopancreatography (MRCP), and computed tomography (CT), are essential for diagnosis and staging. These imaging modalities can reveal bile duct dilation, mass lesions, and infiltration into surrounding structures. Surgical resection, typically via Whipple procedure, poses challenges due to the tumor's proximity to vital vascular structures and the pancreas. The prognosis is generally poor, with a five-year survival rate significantly influenced by the stage at diagnosis and the completeness of surgical resection. Multidisciplinary management involving gastroenterology, oncology, and surgery is crucial for optimal outcomes.
Detailed imaging reports, biopsy results, and treatment plans must be documented.
Patients presenting with jaundice, abdominal pain, or weight loss requiring imaging and potential biopsy.
Ensure that all imaging findings are clearly linked to the diagnosis to support coding.
Operative reports detailing the surgical approach, findings, and pathology results.
Patients undergoing Whipple procedure for ampullary tumors.
Accurate staging and documentation of margins are critical for coding and prognosis.
Often performed in conjunction with ampullary tumor resection if gallbladder disease is present.
Operative report must detail the procedure and any findings.
Ensure that the relationship between the gallbladder condition and ampullary cancer is clearly documented.
Common symptoms include jaundice, abdominal pain, weight loss, and changes in stool color due to bile duct obstruction.
