2025 ICD-10-CM code E34.0
Carcinoid syndrome. This condition arises from a carcinoid tumor, typically originating in the digestive tract, secreting excessive hormone-like substances, leading to various symptoms.
Medical necessity for interventions related to carcinoid syndrome hinges upon the severity of symptoms and the potential for complications like heart disease or bowel obstruction. Treatment aims to alleviate symptoms, prevent disease progression, and manage acute crises.
Physicians diagnose carcinoid syndrome based on patient history, symptoms, physical exam, and lab tests (CBC, blood chemistries, urinalysis, hormone level checks). Imaging studies like ultrasound, X-ray, bone scan, CT, MRI, and PET scans may also be used. Treatment options include surgery, radiation therapy, chemotherapy, immunotherapy, and targeted therapy.
In simple words: Carcinoid syndrome happens when a tumor in your digestive system releases too many hormones into your blood. This can cause problems like flushing, diarrhea, wheezing, and dizziness. In serious cases, it can affect your heart, bowels, and cause a sudden, severe reaction with flushing, low blood pressure, confusion, and trouble breathing.
Carcinoid syndrome is a disorder caused by carcinoid tumors, usually found in the digestive system, that release hormones like serotonin into the bloodstream. This can cause a range of symptoms including skin flushing, diarrhea, wheezing, rapid heartbeat, and dizziness. Severe cases can lead to heart disease, bowel obstruction, and carcinoid crisis, which involves intense flushing, low blood pressure, psychosis, and difficulty breathing.
Example 1: A patient presents with recurrent episodes of flushing, diarrhea, and wheezing. After further investigation, including blood and urine tests revealing elevated serotonin levels and imaging studies showing a tumor in the small intestine, a diagnosis of carcinoid syndrome is made., During a routine colonoscopy, a small carcinoid tumor is discovered. While currently asymptomatic, the patient undergoes regular monitoring for potential development of carcinoid syndrome based on hormone levels and clinical symptoms., A patient experiences a sudden onset of severe flushing, low blood pressure, and difficulty breathing, along with altered mental status. This carcinoid crisis requires immediate medical intervention to stabilize the patient, followed by treatment of the underlying carcinoid syndrome.
Thorough documentation is essential for accurate coding and includes patient history, presenting symptoms (flushing, diarrhea, wheezing, rapid heartbeat), physical exam findings, laboratory results (serotonin, 5-HIAA, chromogranin-A levels), imaging reports (ultrasound, X-ray, bone scan, CT, MRI, PET), and details of treatment procedures (surgery, radiation therapy, chemotherapy).
** Carcinoid tumors and the resulting carcinoid syndrome can be complex. Therefore, multidisciplinary care involving various specialists is often necessary to effectively diagnose and manage this condition. Please refer to iFrameAI product for latest code updates.
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