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v1.0.0
ICD-10 Guide
ICD-10 CodesC57.0

C57.0

Billable

Malignant neoplasm of fallopian tube

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

Code Description

ICD-10 C57.0 is a billable code used to indicate a diagnosis of malignant neoplasm of fallopian tube.

Key Diagnostic Point:

Malignant neoplasm of the fallopian tube is a rare gynecologic cancer that arises from the epithelial cells lining the fallopian tubes. It is often diagnosed at an advanced stage due to nonspecific symptoms such as abdominal pain, abnormal vaginal bleeding, or pelvic mass. The fallopian tubes are responsible for transporting eggs from the ovaries to the uterus, and malignancies in this area can lead to serious complications, including metastasis to adjacent organs. Diagnosis typically involves imaging studies, such as ultrasound or CT scans, and histopathological examination following surgical intervention. The staging of fallopian tube cancer is crucial for determining treatment options and prognosis, with the FIGO staging system commonly used. Elevated levels of CA-125, a tumor marker, may be observed in patients, although it is not specific to fallopian tube cancer. Treatment often involves a combination of surgery, chemotherapy, and in some cases, radiation therapy, depending on the stage and extent of the disease.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Rarity of the condition leading to potential misdiagnosis.
  • Need for precise staging to determine treatment options.
  • Variability in symptoms that may overlap with other gynecologic conditions.
  • Documentation requirements for surgical procedures and pathology reports.

Audit Risk Factors

  • Inadequate documentation of staging and treatment.
  • Misinterpretation of pathology reports.
  • Failure to link diagnosis with appropriate surgical procedures.
  • Inconsistent use of CA-125 levels in documentation.

Specialty Focus

Medical Specialties

Gynecologic Oncology

Documentation Requirements

Detailed surgical reports, pathology findings, and staging information.

Common Clinical Scenarios

Diagnosis and management of fallopian tube cancer, staging evaluations, and treatment planning.

Billing Considerations

Ensure accurate documentation of tumor markers and imaging studies.

Radiology

Documentation Requirements

Clear imaging reports indicating findings related to the fallopian tubes.

Common Clinical Scenarios

Imaging for suspected malignancies and follow-up imaging post-treatment.

Billing Considerations

Accurate descriptions of imaging findings are crucial for coding.

Coding Guidelines

Inclusion Criteria

Use C57.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, staging, and treatment
  • Include any relevant imaging and pathology reports to support the coding decision

Exclusion Criteria

Do NOT use C57.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

58150CPT Code

Total abdominal hysterectomy with bilateral salpingo-oophorectomy

Clinical Scenario

Performed for staging and treatment of fallopian tube cancer.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Gynecologic oncology specialists should ensure comprehensive documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of gynecologic malignancies, including fallopian tube cancer, improving data accuracy and facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of gynecologic malignancies, including fallopian tube cancer, improving data accuracy and facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of gynecologic malignancies, including fallopian tube cancer, improving data accuracy and facilitating better tracking of treatment outcomes.

Resources

Clinical References

  • •
    American Cancer Society - Fallopian Tube Cancer

Coding & Billing References

  • •
    American Cancer Society - Fallopian Tube Cancer

Frequently Asked Questions

What are the common symptoms of fallopian tube cancer?

Common symptoms include abdominal pain, abnormal vaginal bleeding, and pelvic mass. However, these symptoms can be nonspecific and may overlap with other conditions.

How is fallopian tube cancer diagnosed?

Diagnosis typically involves imaging studies, such as ultrasound or CT scans, followed by histopathological examination of tissue obtained through biopsy or surgical intervention.

What is the significance of CA-125 in fallopian tube cancer?

CA-125 is a tumor marker that may be elevated in patients with fallopian tube cancer, although it is not specific to this condition. It is often used to monitor treatment response.

What are the treatment options for fallopian tube cancer?

Treatment usually involves surgical intervention, such as salpingo-oophorectomy, followed by chemotherapy. Radiation therapy may be considered in certain cases.