ICD-10 Code C49.A2 | Gastrointestinal stromal tumor of stomach Symptoms, Diagnosis, Billing

Gastrointestinal stromal tumor (GIST) of the stomach is a rare type of tumor that originates from interstitial cells of Cajal or precursor cells in the gastrointestinal tract. These tumors can be benign or malignant and are characterized by mutations in the KIT or PDGFRA genes. Accurate coding with ICD-10 Code C49.A2 is essential for proper diagnosis, documentation, medical billing, and public health reporting, ensuring that patients receive appropriate care and treatment.

What is ICD-10 Code C49.A2 for Gastrointestinal stromal tumor of stomach?

ICD-10 Code C49.A2 specifically identifies gastrointestinal stromal tumors located in the stomach. These tumors arise from the connective tissue of the gastrointestinal tract and can lead to significant complications if not diagnosed and treated promptly. This code should be used in clinical documentation and billing when a patient is diagnosed with a GIST of the stomach, ensuring accurate representation of the patient's condition for healthcare providers and insurers.

ICD-10 Code C49.A2 – Clinical Definition and Explanation of Gastrointestinal stromal tumor of stomach

Gastrointestinal stromal tumors of the stomach are neoplasms that can vary in behavior from benign to malignant. They often present with nonspecific symptoms, which can lead to delays in diagnosis. Early identification and treatment are crucial to improve patient outcomes.

Key Clinical Features:

• Abdominal pain or discomfort
• Gastrointestinal bleeding or anemia
• Palpable abdominal mass
• Nausea or vomiting

ICD-10 Code C49.A2 for Gastrointestinal stromal tumor of stomach – SOAP Notes & Clinical Use

ICD-10 Code C49.A2 is utilized in SOAP notes to document the presence of a gastrointestinal stromal tumor of the stomach. It plays a vital role in capturing patient symptoms, assessments, and treatment plans, relevant in both acute and chronic care settings.

What Does ICD-10 Code C49.A2 for Gastrointestinal stromal tumor of stomach Mean in SOAP Notes?

In SOAP notes, ICD-10 Code C49.A2 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of gastrointestinal stromal tumor of the stomach. This ensures continuity of care, supports accurate billing, and meets EHR documentation standards.

Treatment Options for ICD-10 Code C49.A2 – Gastrointestinal stromal tumor of stomach

Gastrointestinal stromal tumors of the stomach require prompt medical attention due to their potential for malignancy. Treatment typically involves surgical resection and may include targeted therapies.

Antibiotic Therapy:

Supportive Care:

• Pain management strategies
• Nutritional support
• Monitoring for complications

Infection Control:

How to Document Symptoms of Gastrointestinal stromal tumor of stomach (ICD-10 C49.A2) in SOAP Notes

Subjective:

• Patient reports persistent abdominal pain.
• History of gastrointestinal bleeding.
• Nausea and loss of appetite noted.
• Patient mentions a palpable mass in the abdomen.

Objective:

• Abdominal tenderness on examination.
• Presence of a palpable mass in the epigastric region.
• Anemia indicated by low hemoglobin levels.
• Imaging shows a mass in the stomach.

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SOAP Note Guidelines for Diagnosing Gastrointestinal stromal tumor of stomach (ICD-10 Code C49.A2)

Assessment:

• Diagnosis: Gastrointestinal stromal tumor of stomach, malignant.
• ICD-10 Code: C49.A2.
• Contributing factors: Genetic mutations (KIT/PDGFRA).
• Severity: Moderate to high risk of metastasis.

Plan:

• Refer for surgical evaluation and possible resection.
• Consider imatinib therapy if metastatic.
• Schedule follow-up imaging to monitor tumor response.
• Educate patient on symptoms of complications.

Treatment & Plan Section for ICD-10 Code C49.A2 – Gastrointestinal stromal tumor of stomach

• First-line treatment includes surgical resection of the tumor.
• Targeted therapy with imatinib for unresectable or metastatic disease.
• Regular follow-up with imaging to assess for recurrence.
• Patient education on dietary modifications and symptom management.

Using ICD-10 Code C49.A2 for Gastrointestinal stromal tumor of stomach in Billing & SOAP Note Compliance

• Ensure accurate documentation of symptoms and clinical findings.
• Use C49.A2 in settings where GIST is diagnosed or treated.
• Align treatment plans with clinical guidelines for justified billing.
• Include relevant CPT codes that correspond to the services provided.

Related ICD-10 Codes Often Used with Gastrointestinal stromal tumor of stomach

• C49.A1 – Gastrointestinal stromal tumor of small intestine
• C15.9 – Malignant neoplasm of esophagus, unspecified

ICD-10 Code C49.A2 in Medical Billing and Insurance for Gastrointestinal stromal tumor of stomach

ICD-10 Code C49.A2 is critical for accurate billing in hospital, ER, or oncology settings.

Billing Notes:

• Document all relevant clinical findings to support the diagnosis.
• Use C49.A2 in conjunction with treatment-related codes for comprehensive billing.
• Ensure that documentation reflects the severity and complexity of the case.
• Review payer-specific guidelines for coding and billing compliance.

Common CPT Pairings: