Advanced Search

Oncology & Hematology Coding Alert

Reader Question:

157.4 Is Appropriate for PNET

Published on Wed Feb 15, 2012

Question: Which diagnosis code describes PNET, Pancreatic neuroendocrine tumor, malignant?Codify MemberAnswer: Turn to 157.4 (Malignant neoplasm of islets of Langerhans) for this diagnosis.Although most neuroendocrine tumors are found in the 209.xx (Neuroendocrine tumor) range, ICD-9 excludes "pancreatic islet cell tumors (157.4)" from that range.The ICD-9 index also will direct you to 157.4 for specific PNETs. For example, if you search "gastrinoma, malignant, pancreas," you'll be pointed to 157.4. Similarly, "tumor, islet cell, malignant, pancreas" points to 157.4.Tip: ICD-10-CM crosswalks 157.4 to C25.4 (Malignant neoplasm of endocrine pancreas).
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Oncology & Hematology Coding Alert

View All