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BETA v.3.0

2025 ICD-10-CM code C7B.03

Secondary carcinoid tumors of the bone.

Use additional code to identify any functional activity associated with the neoplasm.

Medical necessity is established by the presence of a documented primary carcinoid tumor and the confirmation of bone metastasis, causing symptoms or complications that require medical intervention.

Physicians diagnose based on history, symptoms, physical exam, blood tests, and bone biopsy. Imaging studies like bone scan, CT, MRI, and PET scan are used. Treatment depends on severity, prior treatment, general health, and progression, and may include chemotherapy, radiation therapy, and surgery.

In simple words: This code indicates that cancer cells from a carcinoid tumor, a slow-growing type of tumor, have spread to the bones.

Secondary carcinoid tumors of the bone represent the metastasis of carcinoid tumor cells from a primary site to the bone.Carcinoid tumors are a type of neuroendocrine tumor (NET).

Example 1: A patient with a history of carcinoid tumor of the small intestine presents with bone pain. Imaging reveals metastatic lesions in the femur, consistent with secondary carcinoid tumor., A patient undergoing treatment for a primary lung carcinoid tumor develops a pathological fracture of the humerus. Biopsy confirms the presence of metastatic carcinoid tumor cells in the bone., During a routine bone scan, a patient with no prior history of cancer is found to have a lesion in the rib.Biopsy reveals metastatic carcinoid tumor, and subsequent investigation identifies a primary carcinoid tumor in the appendix.

Documentation should include evidence of a primary carcinoid tumor, the location of the bone metastasis, and confirmation of the diagnosis through imaging studies and/or biopsy.

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