Malignant neoplasm of pancreas
Chapter 2:Neoplasms
ICD-10 C25 is a billable code used to indicate a diagnosis of malignant neoplasm of pancreas.
Malignant neoplasm of the pancreas, commonly referred to as pancreatic cancer, is a highly aggressive form of cancer that originates in the tissues of the pancreas. The pancreas is a vital organ responsible for producing digestive enzymes and hormones, including insulin. Pancreatic cancer often presents with vague symptoms, such as abdominal pain, weight loss, and jaundice, which can lead to late diagnosis. The disease is typically classified into exocrine tumors, which account for the majority of cases, and neuroendocrine tumors. Staging pancreatic cancer can be particularly challenging due to the lack of early symptoms and the tendency for the disease to metastasize quickly. The CA 19-9 tumor marker is often utilized in the diagnosis and monitoring of pancreatic cancer, although it is not exclusively specific to this condition. Unfortunately, the prognosis for patients diagnosed with pancreatic cancer is generally poor, with a five-year survival rate of less than 10%, primarily due to late-stage diagnosis and aggressive tumor behavior.
Detailed pathology reports, imaging studies, and treatment plans are essential for accurate coding.
Initial diagnosis, staging, treatment planning, and follow-up care.
Ensure accurate documentation of tumor markers and staging to support coding.
Endoscopic reports, imaging results, and biopsy findings are critical.
Evaluation of abdominal pain, jaundice, and weight loss; management of complications.
Documenting the clinical rationale for imaging and lab tests is crucial.
Often performed in patients with pancreatic cancer to manage biliary obstruction.
Document indications for surgery and any complications.
Ensure surgical notes are detailed and include findings.
CA 19-9 is a tumor marker that can help in diagnosing pancreatic cancer and monitoring treatment response. Elevated levels may indicate the presence of cancer, but they are not definitive, as they can also be elevated in other conditions.
