ICD-10 Code C18.7 | Malignant neoplasm of sigmoid colon Symptoms, Diagnosis, Billing

Malignant neoplasm of the sigmoid colon is a type of cancer that originates in the sigmoid colon, which is the part of the large intestine closest to the rectum. This condition is characterized by uncontrolled cell growth and can lead to significant morbidity and mortality. Accurate coding with ICD-10 Code C18.7 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and resources are allocated effectively.

What is ICD-10 Code C18.7 for Malignant neoplasm of sigmoid colon?

ICD-10 Code C18.7 specifically denotes a malignant neoplasm located in the sigmoid colon. This code is utilized when documenting cases of sigmoid colon cancer, which may arise from various risk factors, including genetic predisposition and lifestyle choices. It is crucial for healthcare providers to use this code accurately in clinical documentation and billing to reflect the patient's diagnosis and ensure appropriate treatment and reimbursement.

ICD-10 Code C18.7 – Clinical Definition and Explanation of Malignant neoplasm of sigmoid colon

Malignant neoplasm of the sigmoid colon is primarily caused by genetic mutations and environmental factors, leading to the formation of cancerous tumors. The disease can progress silently, often presenting with late-stage symptoms, necessitating prompt medical intervention. Early detection and treatment are vital to improve patient outcomes.

Key Clinical Features:

• Abdominal pain or discomfort
• Changes in bowel habits (diarrhea or constipation)
• Unexplained weight loss
• Rectal bleeding or blood in stool

ICD-10 Code C18.7 for Malignant neoplasm of sigmoid colon – SOAP Notes & Clinical Use

ICD-10 Code C18.7 is integral to SOAP notes, facilitating the documentation of patient symptoms, assessments, and treatment plans. This code is relevant in both acute and chronic care settings, ensuring comprehensive patient management and accurate billing.

What Does ICD-10 Code C18.7 for Malignant neoplasm of sigmoid colon Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C18.7 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of sigmoid colon cancer. This code is essential for ensuring continuity of care, supporting accurate billing, and meeting EHR documentation standards.

Treatment Options for ICD-10 Code C18.7 – Malignant neoplasm of sigmoid colon

The management of malignant neoplasm of the sigmoid colon often requires hospitalization for comprehensive treatment. Surgical intervention, chemotherapy, and radiation therapy are common approaches.

Antibiotic Therapy:

• Not applicable as this condition is not infectious.

Supportive Care:

• Pain management with analgesics
• Nutritional support and counseling
• Psychosocial support services
• Monitoring for complications such as bowel obstruction

Infection Control:

• Standard precautions during treatment
• Monitoring for signs of infection post-surgery
• Patient education on hygiene and care

How to Document Symptoms of Malignant neoplasm of sigmoid colon (ICD-10 C18.7) in SOAP Notes

Subjective:

• Patient reports persistent abdominal pain
• Complains of recent changes in bowel habits
• Noticed blood in stool intermittently
• Experiencing unexplained weight loss

Objective:

• Abdominal tenderness on palpation
• Positive fecal occult blood test
• Imaging shows mass in sigmoid colon
• Weight loss of 10 pounds noted since last visit

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SOAP Note Guidelines for Diagnosing Malignant neoplasm of sigmoid colon (ICD-10 Code C18.7)

Assessment:

• Diagnosis: Malignant neoplasm of sigmoid colon, Stage II
• ICD-10 Code: C18.7
• Contributing factors: Family history of colorectal cancer
• Patient's age and lifestyle factors noted.

Plan:

• Refer to oncology for further evaluation and treatment
• Discuss surgical options with the patient
• Initiate nutritional support
• Schedule follow-up in 4 weeks to monitor progress

Treatment & Plan Section for ICD-10 Code C18.7 – Malignant neoplasm of sigmoid colon

• Consideration of surgical resection as primary treatment
• Chemotherapy regimen based on staging and pathology
• Nutritional counseling to support recovery
• Regular follow-up appointments for monitoring and adjustment of treatment plan

Using ICD-10 Code C18.7 for Malignant neoplasm of sigmoid colon in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and findings in the Subjective and Objective sections
• Use C18.7 in conjunction with relevant CPT codes for surgical and medical interventions
• Maintain compliance with coding guidelines to support billing
• Document all treatment plans and patient education efforts clearly

Related ICD-10 Codes Often Used with Malignant neoplasm of sigmoid colon

• C18.0 – Malignant neoplasm of cecum
• C18.1 – Malignant neoplasm of ascending colon
• C18.2 – Malignant neoplasm of transverse colon
• C18.3 – Malignant neoplasm of descending colon
• C18.4 – Malignant neoplasm of sigmoid colon

ICD-10 Code C18.7 in Medical Billing and Insurance for Malignant neoplasm of sigmoid colon

ICD-10 Code C18.7 is crucial for billing purposes, particularly in hospital, ER, or oncology settings.

Billing Notes:

• Document all relevant patient history and clinical findings to support the diagnosis
• Use C18.7 in the appropriate clinical context to ensure accurate billing
• Include detailed treatment plans and follow-up care in documentation
• Ensure compliance with payer requirements for coding and billing.

Common CPT Pairings: