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v1.0.0
ICD-10 Guide
ICD-10 CodesC17.9

C17.9

Billable

Malignant neoplasm of small intestine, unspecified

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

Code Description

ICD-10 C17.9 is a billable code used to indicate a diagnosis of malignant neoplasm of small intestine, unspecified.

Key Diagnostic Point:

C17.9 refers to a malignant neoplasm located in the small intestine, where the specific site of the tumor is not clearly defined. The small intestine comprises the duodenum, jejunum, and ileum, and malignancies can arise from any of these segments. Small intestine cancers are relatively rare, accounting for approximately 1-2% of all gastrointestinal cancers. The most common types include adenocarcinoma, carcinoid tumors, and lymphoma. Symptoms may include abdominal pain, weight loss, nausea, and changes in bowel habits, which can lead to diagnostic challenges. Imaging studies such as CT scans and endoscopy are often required for diagnosis, but due to the small size and location of the tumors, they can be easily overlooked. The unspecified nature of this code indicates that further specificity regarding the tumor's location or type is not available, which can complicate treatment planning and epidemiological tracking. Accurate coding is essential for appropriate management and research into this rare malignancy.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Lack of specificity regarding tumor location and type.
  • Variability in presentation and symptoms, leading to potential misdiagnosis.
  • Need for comprehensive diagnostic imaging and pathology reports.
  • Differentiation from benign conditions and other gastrointestinal malignancies.

Audit Risk Factors

  • Insufficient documentation of tumor characteristics.
  • Inadequate imaging studies to support diagnosis.
  • Failure to specify the site of the malignancy.
  • Misalignment between clinical findings and coded diagnosis.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of small intestine tumors, staging of cancer, and treatment planning.

Billing Considerations

Ensure all relevant diagnostic tests are documented to support the malignancy diagnosis.

Gastroenterology

Documentation Requirements

Endoscopy reports, biopsy results, and clinical notes detailing symptoms and findings.

Common Clinical Scenarios

Evaluation of gastrointestinal symptoms, performing endoscopic procedures, and obtaining biopsies.

Billing Considerations

Document the rationale for endoscopic procedures and any findings that may indicate malignancy.

Coding Guidelines

Inclusion Criteria

Use C17.9 When
  • According to ICD
  • 10 coding guidelines, C17
  • 9 should be used when the specific site of the malignant neoplasm in the small intestine is not documented
  • Coders should ensure that all relevant clinical information is captured to support the use of this code

Exclusion Criteria

Do NOT use C17.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

44120CPT Code

Laparoscopic resection of small intestine

Clinical Scenario

Used when a patient with a diagnosed small intestine malignancy undergoes surgical resection.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Oncology and surgical documentation must align for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for greater specificity in coding malignancies, but C17.9 remains a challenge due to its unspecified nature. Coders must ensure that they capture all relevant clinical details to support the use of this code.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for greater specificity in coding malignancies, but C17.9 remains a challenge due to its unspecified nature. Coders must ensure that they capture all relevant clinical details to support the use of this code.

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 should I do if the specific site of the small intestine malignancy is not documented?

In such cases, C17.9 should be used, but ensure that all other clinical information is thoroughly documented to support the diagnosis.