C25.1
BillableMalignant neoplasm of body of pancreas
HCC Category Mapping
V28HCC 20 — Lung and Other Severe Cancers
0.000V24HCC 9 — Lung and Other Severe Cancers
0.973ESRDHCC 9 — Lung and Other Severe Cancers
0.000RxHCCHCC 20 — Cancer, Liver and Intrahepatic Bile Duct
0.000What This Code Means
Cancer that develops in the body of the pancreas, the middle section of the organ between the head and tail.
Coding Tips
- •Body cancers may be more difficult to detect early as they don't typically cause early symptoms
- •Document the relationship to surrounding structures and vessels for surgical planning
Clinical Significance
Malignant neoplasm of the body of the pancreas carries one of the worst prognoses among pancreatic cancers because these tumors often present at advanced stages due to lack of early symptoms. Unlike head tumors that cause jaundice, body tumors may grow silently until they cause pain or are discovered incidentally. When resectable, treatment involves distal pancreatectomy, but the majority of cases are unresectable at diagnosis due to vascular involvement.
Documentation Requirements
- ✓Documentation confirming body of pancreas as the primary tumor location
- ✓Histological type and grade
- ✓Stage of disease including relationship to major vessels (celiac artery, superior mesenteric artery)
- ✓Resectability assessment
- ✓Cancer antigen 19-9 level and other tumor markers
Commonly Confused Codes
C25.0 — Head of pancreas: the head is the wider right portion; the body is the central segmentC25.2 — Tail of pancreas: the tail is the narrow left portion near the spleen; the body is between head and tailC25.8 — Overlapping sites of pancreas: use when tumor spans body plus another pancreatic segmentC25.9 — Pancreas, unspecified: use C25.1 when body location is documented
Code Hierarchy
└C25Malignant neoplasm of pancreas└C25.1Malignant neoplasm of body of pancreas
└C25.1Malignant neoplasm of body of pancreas