ICD Code C25.1

ICD code C25.1 is malignant (cancerous) tumor located in the body of the pancreas.

1. Presence of a malignant tumor located specifically in the body (central portion) of the pancreas

2. Imaging studies (CT, MRI, or ultrasound) confirming a mass in the body of the pancreas

3. Histopathological confirmation of malignancy from biopsy or surgical specimen

4. Clinical symptoms such as unexplained weight loss, abdominal pain radiating to the back, jaundice (if bile duct involvement), or new-onset diabetes

5. Absence of primary tumor in the head or tail of the pancreas

6. No evidence that the malignancy originated from another organ (to rule out metastatic disease)

Relevant CPT codes that may be used to treat ICD code C25.1 include:

- 48150: Pancreatectomy, proximal subtotal with or without splenectomy; Whipple procedure

- 48152: Pancreatectomy, distal subtotal with or without splenectomy

- 48153: Pancreatectomy, distal subtotal with splenectomy and regional lymphadenectomy

- 48154: Pancreatectomy, total

- 48140: Pancreatectomy, local excision of tumor, single or multiple

- 48120: Pancreatectomy, partial, left subtotal

- 48554: Pancreatectomy, total or subtotal, with autologous islet cell transplantation

- 36245: Selective arterial catheterization (for chemoembolization)

- 96413: Chemotherapy administration, intravenous infusion, up to 1 hour

- 77427: Radiation treatment management, five treatments

CPT code selection should be based on the specific treatment rendered for C25.1.

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