Malignant ascites
ICD-10 R18.0 is a billable code used to indicate a diagnosis of malignant ascites.
Malignant ascites refers to the accumulation of fluid in the peritoneal cavity due to malignancy. This condition is often associated with advanced stages of cancer, particularly cancers of the ovary, liver, pancreas, and gastrointestinal tract. Patients may present with abdominal distension, discomfort, and weight gain due to fluid retention. Physical examination may reveal a tense, distended abdomen with shifting dullness on percussion. Laboratory findings may include elevated protein levels in the ascitic fluid and cytological analysis may reveal malignant cells. The presence of malignant ascites indicates a poor prognosis and often requires palliative management, including paracentesis for symptomatic relief. Accurate diagnosis and coding are crucial for appropriate treatment and management of the underlying malignancy.
Detailed history of malignancy, physical exam findings, and lab results.
Patients with known cancer presenting with abdominal distension.
Ensure documentation reflects the relationship between the malignancy and ascites.
Acute assessment of abdominal symptoms, imaging results, and immediate management plans.
Patients presenting with acute abdominal pain and known malignancy.
Document acute changes in condition and any interventions performed.
Used for therapeutic drainage of malignant ascites.
Document indication for procedure, fluid analysis results, and patient response.
Ensure that the procedure is linked to the diagnosis of malignant ascites.
Malignant ascites is primarily caused by the spread of cancer cells to the peritoneal cavity, leading to fluid accumulation due to increased vascular permeability and lymphatic obstruction.
