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ICD-10 Guide
ICD-10 CodesC79.60

C79.60

Billable

Secondary malignant neoplasm of unspecified ovary

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C79.60 is a billable code used to indicate a diagnosis of secondary malignant neoplasm of unspecified ovary.

Key Diagnostic Point:

C79.60 refers to secondary malignant neoplasms that have metastasized to the ovary from an unknown primary site. This condition indicates that cancer cells have spread to the ovarian tissue, but the original source of the cancer is not identified. Metastatic ovarian cancer can arise from various primary cancers, including breast, colon, or gastrointestinal cancers. The clinical presentation may vary, with symptoms ranging from abdominal pain, bloating, and changes in bowel habits to more systemic signs like weight loss and fatigue. Diagnosis typically involves imaging studies such as ultrasound, CT scans, or MRI, along with histopathological examination of tissue samples. Staging of metastatic disease is crucial for treatment planning and may involve the use of the FIGO staging system for ovarian cancer. Palliative care considerations are essential, focusing on symptom management and improving the quality of life for patients, especially when the disease is advanced and curative treatment options are limited.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the primary site of cancer can be challenging.
  • Requires thorough documentation of metastatic disease.
  • Staging may vary based on the primary cancer type.
  • Palliative care considerations must be documented.

Audit Risk Factors

  • Inadequate documentation of the primary cancer site.
  • Failure to document staging details.
  • Lack of clarity in distinguishing between primary and secondary tumors.
  • Insufficient details on palliative care measures.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed history of the primary cancer, staging information, and treatment plans.

Common Clinical Scenarios

Patients presenting with abdominal symptoms and known history of cancer.

Billing Considerations

Accurate documentation of metastasis and treatment response is critical.

Palliative Care

Documentation Requirements

Comprehensive symptom management plans and patient quality of life assessments.

Common Clinical Scenarios

Patients with advanced cancer requiring symptom relief.

Billing Considerations

Focus on holistic care and communication with the oncology team.

Coding Guidelines

Inclusion Criteria

Use C79.60 When
  • According to ICD
  • 10 coding guidelines, C79
  • 60 should be used when there is clear documentation of a secondary malignant neoplasm in the ovary without a specified primary site
  • Coders must ensure that all relevant clinical information is captured to support the diagnosis

Exclusion Criteria

Do NOT use C79.60 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

88305CPT Code

Pathology examination of tissue

Clinical Scenario

Used when a biopsy of the ovarian tissue is performed to confirm metastatic disease.

Documentation Requirements

Pathology report must clearly indicate the presence of metastatic cells.

Specialty Considerations

Oncologists must ensure that the pathology report is linked to the diagnosis.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of metastatic diseases, including C79.60. This specificity aids in better tracking of cancer epidemiology and treatment outcomes, although it requires more detailed documentation from healthcare providers.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of metastatic diseases, including C79.60. This specificity aids in better tracking of cancer epidemiology and treatment outcomes, although it requires more detailed documentation from healthcare providers.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of coding C79.60?

Coding C79.60 is crucial for accurately representing the patient's condition of secondary malignant neoplasm in the ovary, which impacts treatment decisions and healthcare resource allocation.