ICD 10 Coding Alert

Check the guidelines before reporting ectopic tissue neoplasms. When documentation shows pancreatic cancer of overlapping sites, you currently turn to 157.8 -- the "other specified sites" code for pancreatic neoplasms. When ICD-10-CM replaces ICD-9-CM, you'll have to get used to a new approach for reporting these neoplasms of overlapping sites. ICD-9-CM Code 157.8, Malignant neoplasm of other specified sites of pancreas ICD-10-CM Codes C25.7, Malignant neoplasm of other parts of pancreas C25.8, Malignant neoplasm of overlapping sites of pancreas ICD-9-CM coding rules: You should use 157.8 for a primary malignant neoplasm of pancreatic sites for which there is no more specific code. For instance, you use this code for neoplasms of the pancreas neck. Coding guidelines also instruct you to use the code for ectopic pancreatic tissue and "Malignant neoplasm of contiguous or overlapping sites of pancreas whose point of origin cannot be determined." ICD-10-CM changes: Code 157.8 crosses to more [...]