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2025 ICD-10-CM code C17

Malignant neoplasm of small intestine

Use additional codes to specify the histological type of the neoplasm if known. Also, code any associated conditions, such as Crohn's disease or celiac disease.

Medical necessity for treatment of small intestine cancer depends on the type, stage, and location of the tumor, as well as the patient's overall health. Treatment aims to remove the cancer, prevent its spread, and alleviate symptoms.

The clinician is responsible for diagnosing and managing small intestine cancer, including staging the cancer, determining appropriate treatment strategies (surgery, chemotherapy, radiation therapy), and providing follow-up care. They should consider patient history, physical examination findings, imaging studies (abdominal X-rays, CT, small bowel enteroclysis, upper GI endoscopy with biopsy, angiography, barium enema), and laboratory tests (CBC, liver function tests, tumor markers, CEA) for accurate diagnosis and treatment planning.

IMPORTANT:Excludes malignant carcinoid tumors of the small intestine (C7A.01) and gastrointestinal stromal tumors (C49.A-).

In simple words: This code represents cancer of the small intestine, the part of the digestive system between the stomach and the large intestine. This cancer involves abnormal cell growth in the small intestine's lining and can spread to other tissues. It's more common in people with diets high in red meat, smoked or salt-cured foods, smokers, those with a history of alcohol abuse, and those with Crohn's disease, celiac disease, or certain genetic disorders.

Malignant neoplasm of the small intestine, which includes the duodenum, jejunum, and ileum. This code excludes malignant carcinoid tumors (C7A.01) and gastrointestinal stromal tumors (C49.A-).

Example 1: A 65-year-old male presents with abdominal pain, weight loss, and blood in his stool. After undergoing imaging and endoscopic biopsy, a diagnosis of adenocarcinoma of the jejunum is confirmed., A patient with a history of Crohn's disease develops a small bowel obstruction. Imaging reveals a malignant mass in the ileum, necessitating surgical resection., A 50-year-old female with unexplained anemia and fatigue is found to have a leiomyosarcoma of the duodenum upon diagnostic investigation.

Documentation should include details of the patient's history, presenting symptoms, physical examination findings, imaging studies (e.g., CT, MRI, endoscopy, biopsy), pathology reports confirming the diagnosis, and details of the treatment plan.

** The prognosis for small intestine cancer varies depending on factors such as stage, tumor type, and the presence of metastasis. Treatment approaches are tailored to individual cases and may involve a combination of surgery, chemotherapy, radiation, targeted therapies, or immunotherapy.

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