DRG 374

Digestive malignancy with mcc

  • C15.3
    Malignant neoplasm of upper third of esophagus
  • C15.4
    Malignant neoplasm of middle third of esophagus
  • C15.5
    Malignant neoplasm of lower third of esophagus
  • C15.8
    Malignant neoplasm of overlapping sites of esophagus
  • C15.9
    Malignant neoplasm of esophagus, unspecified
  • C16.0
    Malignant neoplasm of cardia
  • C16.1
    Malignant neoplasm of fundus of stomach
  • C16.2
    Malignant neoplasm of body of stomach
  • C16.3
    Malignant neoplasm of pyloric antrum
  • C16.4
    Malignant neoplasm of pylorus
  • C16.5
    Malignant neoplasm of lesser curvature of stomach, unspecified
  • C16.6
    Malignant neoplasm of greater curvature of stomach, unspecified
  • C16.8
    Malignant neoplasm of overlapping sites of stomach
  • C16.9
    Malignant neoplasm of stomach, unspecified
  • C17.0
    Malignant neoplasm of duodenum
  • C17.1
    Malignant neoplasm of jejunum
  • C17.2
    Malignant neoplasm of ileum
  • C17.3
    Meckel's diverticulum, malignant
  • C17.8
    Malignant neoplasm of overlapping sites of small intestine
  • C17.9
    Malignant neoplasm of small intestine, unspecified
  • C18.0
    Malignant neoplasm of cecum
  • C18.1
    Malignant neoplasm of appendix
  • C18.2
    Malignant neoplasm of ascending colon
  • C18.3
    Malignant neoplasm of hepatic flexure
  • C18.4
    Malignant neoplasm of transverse colon
  • C18.5
    Malignant neoplasm of splenic flexure
  • C18.6
    Malignant neoplasm of descending colon
  • C18.7
    Malignant neoplasm of sigmoid colon
  • C18.8
    Malignant neoplasm of overlapping sites of colon
  • C18.9
    Malignant neoplasm of colon, unspecified
  • C19
    Malignant neoplasm of rectosigmoid junction
  • C20
    Malignant neoplasm of rectum
  • C21.0
    Malignant neoplasm of anus, unspecified
  • C21.1
    Malignant neoplasm of anal canal
  • C21.2
    Malignant neoplasm of cloacogenic zone
  • C21.8
    Malignant neoplasm of overlapping sites of rectum, anus and anal canal
  • C26.0
    Malignant neoplasm of intestinal tract, part unspecified
  • C26.9
    Malignant neoplasm of ill-defined sites within the digestive system
  • C45.1
    Mesothelioma of peritoneum
  • C46.4
    Kaposi's sarcoma of gastrointestinal sites
  • C48.1
    Malignant neoplasm of specified parts of peritoneum
  • C48.2
    Malignant neoplasm of peritoneum, unspecified
  • C48.8
    Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum
  • C49.A0
    Gastrointestinal stromal tumor, unspecified site
  • C49.A1
    Gastrointestinal stromal tumor of esophagus
  • C49.A2
    Gastrointestinal stromal tumor of stomach
  • C49.A3
    Gastrointestinal stromal tumor of small intestine
  • C49.A4
    Gastrointestinal stromal tumor of large intestine
  • C49.A5
    Gastrointestinal stromal tumor of rectum
  • C49.A9
    Gastrointestinal stromal tumor of other sites
  • C76.2
    Malignant neoplasm of abdomen
  • C78.4
    Secondary malignant neoplasm of small intestine
  • C78.5
    Secondary malignant neoplasm of large intestine and rectum
  • C78.6
    Secondary malignant neoplasm of retroperitoneum and peritoneum
  • C78.80
    Secondary malignant neoplasm of unspecified digestive organ
  • C78.89
    Secondary malignant neoplasm of other digestive organs
  • C7A.010
    Malignant carcinoid tumor of the duodenum
  • C7A.011
    Malignant carcinoid tumor of the jejunum
  • C7A.012
    Malignant carcinoid tumor of the ileum
  • C7A.019
    Malignant carcinoid tumor of the small intestine, unspecified portion
  • C7A.020
    Malignant carcinoid tumor of the appendix
  • C7A.021
    Malignant carcinoid tumor of the cecum
  • C7A.022
    Malignant carcinoid tumor of the ascending colon
  • C7A.023
    Malignant carcinoid tumor of the transverse colon
  • C7A.024
    Malignant carcinoid tumor of the descending colon
  • C7A.025
    Malignant carcinoid tumor of the sigmoid colon
  • C7A.026
    Malignant carcinoid tumor of the rectum
  • C7A.029
    Malignant carcinoid tumor of the large intestine, unspecified portion
  • C7A.092
    Malignant carcinoid tumor of the stomach
  • C7A.094
    Malignant carcinoid tumor of the foregut, unspecified
  • C7A.095
    Malignant carcinoid tumor of the midgut, unspecified
  • C7A.096
    Malignant carcinoid tumor of the hindgut, unspecified
  • C7B.04
    Secondary carcinoid tumors of peritoneum
  • D00.1
    Carcinoma in situ of esophagus
  • D00.2
    Carcinoma in situ of stomach
  • D01.0
    Carcinoma in situ of colon
  • D01.1
    Carcinoma in situ of rectosigmoid junction
  • D01.2
    Carcinoma in situ of rectum
  • D01.3
    Carcinoma in situ of anus and anal canal
  • D01.40
    Carcinoma in situ of unspecified part of intestine
  • D01.49
    Carcinoma in situ of other parts of intestine
  • D01.7
    Carcinoma in situ of other specified digestive organs
  • D01.9
    Carcinoma in situ of digestive organ, unspecified
  • D37.1
    Neoplasm of uncertain behavior of stomach
  • D37.2
    Neoplasm of uncertain behavior of small intestine
  • D37.3
    Neoplasm of uncertain behavior of appendix
  • D37.4
    Neoplasm of uncertain behavior of colon
  • D37.5
    Neoplasm of uncertain behavior of rectum
  • D37.8
    Neoplasm of uncertain behavior of other specified digestive organs
  • D37.9
    Neoplasm of uncertain behavior of digestive organ, unspecified
  • D48.3
    Neoplasm of uncertain behavior of retroperitoneum
  • D48.4
    Neoplasm of uncertain behavior of peritoneum
  • D49.0
    Neoplasm of unspecified behavior of digestive system
ICD-10-CM C15.3

Malignant neoplasm of upper third of esophagus

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C15.4

Malignant neoplasm of middle third of esophagus

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C15.5

Malignant neoplasm of lower third of esophagus

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • malignant neoplasm of cardio-esophageal junction (C16.0)
ICD-10-CM C15.8

Malignant neoplasm of overlapping sites of esophagus

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C15.9

Malignant neoplasm of esophagus, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C16.0

Malignant neoplasm of cardia

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of cardiac orifice
  • Malignant neoplasm of cardio-esophageal junction
  • Malignant neoplasm of esophagus and stomach
  • Malignant neoplasm of gastro-esophageal junction
ICD-10-CM C16.1

Malignant neoplasm of fundus of stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C16.2

Malignant neoplasm of body of stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C16.3

Malignant neoplasm of pyloric antrum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of gastric antrum
ICD-10-CM C16.4

Malignant neoplasm of pylorus

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of prepylorus
  • Malignant neoplasm of pyloric canal
ICD-10-CM C16.5

Malignant neoplasm of lesser curvature of stomach, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of lesser curvature of stomach, not classifiable to C16.1-C16.4
ICD-10-CM C16.6

Malignant neoplasm of greater curvature of stomach, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of greater curvature of stomach, not classifiable to C16.0-C16.4
ICD-10-CM C16.8

Malignant neoplasm of overlapping sites of stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C16.9

Malignant neoplasm of stomach, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Gastric cancer NOS
ICD-10-CM C17.0

Malignant neoplasm of duodenum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C17.1

Malignant neoplasm of jejunum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C17.2

Malignant neoplasm of ileum

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • malignant neoplasm of ileocecal valve (C18.0)
ICD-10-CM C17.3

Meckel's diverticulum, malignant

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • Meckel's diverticulum, congenital (Q43.0)
ICD-10-CM C17.8

Malignant neoplasm of overlapping sites of small intestine

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C17.9

Malignant neoplasm of small intestine, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.0

Malignant neoplasm of cecum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of ileocecal valve
ICD-10-CM C18.1

Malignant neoplasm of appendix

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.2

Malignant neoplasm of ascending colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.3

Malignant neoplasm of hepatic flexure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.4

Malignant neoplasm of transverse colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.5

Malignant neoplasm of splenic flexure

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.6

Malignant neoplasm of descending colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.7

Malignant neoplasm of sigmoid colon

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of sigmoid (flexure)
Type 1 Excludes
  • malignant neoplasm of rectosigmoid junction (C19)
ICD-10-CM C18.8

Malignant neoplasm of overlapping sites of colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C18.9

Malignant neoplasm of colon, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of large intestine NOS
ICD-10-CM C19

Malignant neoplasm of rectosigmoid junction

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of colon with rectum
  • Malignant neoplasm of rectosigmoid (colon)
Type 1 Excludes
  • malignant carcinoid tumors of the colon (C7A.02-)
ICD-10-CM C20

Malignant neoplasm of rectum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of rectal ampulla
Type 1 Excludes
  • malignant carcinoid tumor of the rectum (C7A.026)
ICD-10-CM C21.0

Malignant neoplasm of anus, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C21.1

Malignant neoplasm of anal canal

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of anal sphincter
ICD-10-CM C21.2

Malignant neoplasm of cloacogenic zone

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C21.8

Malignant neoplasm of overlapping sites of rectum, anus and anal canal

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of anorectal junction
  • Malignant neoplasm of anorectum
  • Primary malignant neoplasm of two or more contiguous sites of rectum, anus and anal canal
ICD-10-CM C26.0

Malignant neoplasm of intestinal tract, part unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of intestine NOS
ICD-10-CM C26.9

Malignant neoplasm of ill-defined sites within the digestive system

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of alimentary canal or tract NOS
  • Malignant neoplasm of gastrointestinal tract NOS
Type 1 Excludes
  • malignant neoplasm of abdominal NOS (C76.2)
  • malignant neoplasm of intra-abdominal NOS (C76.2)
ICD-10-CM C45.1

Mesothelioma of peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Mesothelioma of cul-de-sac
  • Mesothelioma of mesentery
  • Mesothelioma of mesocolon
  • Mesothelioma of omentum
  • Mesothelioma of peritoneum (parietal) (pelvic)
Type 1 Excludes
  • other malignant neoplasm of soft tissue of peritoneum (C48.-)
ICD-10-CM C46.4

Kaposi's sarcoma of gastrointestinal sites

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C48.1

Malignant neoplasm of specified parts of peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant neoplasm of cul-de-sac
  • Malignant neoplasm of mesentery
  • Malignant neoplasm of mesocolon
  • Malignant neoplasm of omentum
  • Malignant neoplasm of parietal peritoneum
  • Malignant neoplasm of pelvic peritoneum
ICD-10-CM C48.2

Malignant neoplasm of peritoneum, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C48.8

Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A0

Gastrointestinal stromal tumor, unspecified site

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A1

Gastrointestinal stromal tumor of esophagus

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A2

Gastrointestinal stromal tumor of stomach

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A3

Gastrointestinal stromal tumor of small intestine

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A4

Gastrointestinal stromal tumor of large intestine

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A5

Gastrointestinal stromal tumor of rectum

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C49.A9

Gastrointestinal stromal tumor of other sites

    2017 - New Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C76.2

Malignant neoplasm of abdomen

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C78.4

Secondary malignant neoplasm of small intestine

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C78.5

Secondary malignant neoplasm of large intestine and rectum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C78.6

Secondary malignant neoplasm of retroperitoneum and peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C78.80

Secondary malignant neoplasm of unspecified digestive organ

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C78.89

Secondary malignant neoplasm of other digestive organs

    2016 2017 2018 2019 2020 Billable/Specific Code
Code Also
  • exocrine pancreatic insufficiency (K86.81)
ICD-10-CM C7A.010

Malignant carcinoid tumor of the duodenum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.011

Malignant carcinoid tumor of the jejunum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.012

Malignant carcinoid tumor of the ileum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.019

Malignant carcinoid tumor of the small intestine, unspecified portion

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.020

Malignant carcinoid tumor of the appendix

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.021

Malignant carcinoid tumor of the cecum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.022

Malignant carcinoid tumor of the ascending colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.023

Malignant carcinoid tumor of the transverse colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.024

Malignant carcinoid tumor of the descending colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.025

Malignant carcinoid tumor of the sigmoid colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.026

Malignant carcinoid tumor of the rectum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.029

Malignant carcinoid tumor of the large intestine, unspecified portion

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Malignant carcinoid tumor of the colon NOS
ICD-10-CM C7A.092

Malignant carcinoid tumor of the stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.094

Malignant carcinoid tumor of the foregut, unspecified

    2016 2017 - Revised Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.095

Malignant carcinoid tumor of the midgut, unspecified

    2016 2017 - Revised Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7A.096

Malignant carcinoid tumor of the hindgut, unspecified

    2016 2017 - Revised Code 2018 2019 2020 Billable/Specific Code
ICD-10-CM C7B.04

Secondary carcinoid tumors of peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Mesentary metastasis of carcinoid tumor
ICD-10-CM D00.1

Carcinoma in situ of esophagus

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D00.2

Carcinoma in situ of stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D01.0

Carcinoma in situ of colon

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • carcinoma in situ of rectosigmoid junction (D01.1)
ICD-10-CM D01.1

Carcinoma in situ of rectosigmoid junction

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D01.2

Carcinoma in situ of rectum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D01.3

Carcinoma in situ of anus and anal canal

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Anal intraepithelial neoplasia III [AIN III]
  • Severe dysplasia of anus
Type 1 Excludes
  • anal intraepithelial neoplasia I and II [AIN I and AIN II] (K62.82)
  • carcinoma in situ of anal margin (D04.5)
  • carcinoma in situ of anal skin (D04.5)
  • carcinoma in situ of perianal skin (D04.5)
ICD-10-CM D01.40

Carcinoma in situ of unspecified part of intestine

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D01.49

Carcinoma in situ of other parts of intestine

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D01.7

Carcinoma in situ of other specified digestive organs

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Carcinoma in situ of pancreas
ICD-10-CM D01.9

Carcinoma in situ of digestive organ, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D37.1

Neoplasm of uncertain behavior of stomach

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D37.2

Neoplasm of uncertain behavior of small intestine

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D37.3

Neoplasm of uncertain behavior of appendix

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D37.4

Neoplasm of uncertain behavior of colon

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D37.5

Neoplasm of uncertain behavior of rectum

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Neoplasm of uncertain behavior of rectosigmoid junction
ICD-10-CM D37.8

Neoplasm of uncertain behavior of other specified digestive organs

    2016 2017 2018 2019 2020 Billable/Specific Code
Applicable To
  • Neoplasm of uncertain behavior of anal canal
  • Neoplasm of uncertain behavior of anal sphincter
  • Neoplasm of uncertain behavior of anus NOS
  • Neoplasm of uncertain behavior of esophagus
  • Neoplasm of uncertain behavior of intestine NOS
  • Neoplasm of uncertain behavior of pancreas
Type 1 Excludes
  • neoplasm of uncertain behavior of anal margin (D48.5)
  • neoplasm of uncertain behavior of anal skin (D48.5)
  • neoplasm of uncertain behavior of perianal skin (D48.5)
ICD-10-CM D37.9

Neoplasm of uncertain behavior of digestive organ, unspecified

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D48.3

Neoplasm of uncertain behavior of retroperitoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D48.4

Neoplasm of uncertain behavior of peritoneum

    2016 2017 2018 2019 2020 Billable/Specific Code
ICD-10-CM D49.0

Neoplasm of unspecified behavior of digestive system

    2016 2017 2018 2019 2020 Billable/Specific Code
Type 1 Excludes
  • neoplasm of unspecified behavior of margin of anus (D49.2)
  • neoplasm of unspecified behavior of perianal skin (D49.2)
  • neoplasm of unspecified behavior of skin of anus (D49.2)