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C19BillableSave

C19 - Malignant neoplasm of rectosigmoid junction

ICD-10-CM Chapter 2: Neoplasms · C15-C26 Malignant neoplasms of digestive organs (C15-C26) · Top-level category · FY2027

Applicable To

Inclusion terms listed under C19 in the ICD-10-CM tabular list.

  • Malignant neoplasm of colon with rectum
  • Malignant neoplasm of rectosigmoid (colon)

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom C19

Mutually exclusive: these conditions are never reported together with this code.

  • malignant carcinoid tumors of the colon (C7A.02-)
Excludes 1 — Not Coded HereFrom C15-C26 Malignant neoplasms of digestive organs (C15-C26)

Mutually exclusive: these conditions are never reported together with this code.

  • Kaposi's sarcoma of gastrointestinal sites (C46.4)
Excludes 2 — Not Included HereFrom C15-C26 Malignant neoplasms of digestive organs (C15-C26)

Not part of this code; report both codes when the patient has both conditions.

  • gastrointestinal stromal tumors (C49.A-)
NotesFrom Chapter C00-D49

Instructional notes from the ICD-10-CM tabular list.

  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Inpatient DRG Payments

DRG 37411,431 discharges

Digestive Malignancy With Mcc

Avg. Medicare Payment

$17,154

Total Payment$21,124
Patient Responsibility$3,970
Hospital Charge$100,406
DRG 3759,654 discharges

Digestive Malignancy With Cc

Avg. Medicare Payment

$9,407

Total Payment$12,091
Patient Responsibility$2,683
Hospital Charge$60,967