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Oncology & Hematology Coding Alert

READER QUESTION ~ Sum Up Stromal ICD-9 Changes

Published on Thu Jan 11, 2007

Question: I-m having trouble keeping track of the ICD-9 changes to coding stromal neoplasms. Can you explain the changes?

Idaho Subscriber Answer: ICD-9 2007 adds instructions to several diagnosis codes to clarify whether they include or exclude stromal tumors. The changes include:

- 151.x -- Malignant neoplasm of stomach

New in 2007: Excludes malignant stromal tumor of stomach (171.5). - 152.x -- Malignant neoplasm of small intestine,  including duodenum

New in 2007: Excludes malignant stromal tumor of small intestine (171.5). - 171.x -- Malignant neoplasm of connective and  other soft tissue

New in 2007: Includes malignant stromal tumors; excludes connective tissue of internal organs (except stromal tumors). - 211.x -- Benign neoplasm of other parts of  digestive system

New in 2007: Excludes benign stromal tumors of digestive system (215.5). - 215.5 -- Other benign neoplasm of connective and   other soft tissue; abdomen

New in 2007: Benign stromal tumors of abdomen. - 235.x -- Neoplasm of uncertain behavior of digestive and respiratory systems

New in 2007: Excludes stromal tumors of uncertain behavior of digestive system (238.1). - 238.1 -- Neoplasm of uncertain behavior of other and unspecified sites and tissues; connective and other soft tissue

New in 2007: Stromal tumors of digestive system.  
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