C18.7

Malignant neoplasm of sigmoid colon

Billable / specificHCC V28 22

C18.7 is a billable, specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes in FY2027.

Inclusion terms

Applicable to

  • Malignant neoplasm of sigmoid (flexure)

Includes (from C18)

  • Note: Functional activity
  • Note: All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Note: Morphology [Histology]
  • Note: Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Note: Primary malignant neoplasms overlapping site boundaries
  • Note: A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Note: Malignant neoplasm of ectopic tissue
  • Note: Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Excludes1

Not coded here — never report together with this code.

  • malignant neoplasm of rectosigmoid junction (C19)
  • Kaposi's sarcoma of gastrointestinal sites (C46.4) (from C18)
  • malignant carcinoid tumors of the colon (C7A.02-) (from C18)

Excludes2

Not included here — may be reported together when both conditions exist.

  • gastrointestinal stromal tumors (C49.A-) (from C18)

Also known as

  • Malignant neoplasm of sigmoid (flexure)

Parent code

  • C18Malignant neoplasm of colonHeader

Related codes

  • C18.0Malignant neoplasm of cecumBillable
  • C18.1Malignant neoplasm of appendixBillable
  • C18.2Malignant neoplasm of ascending colonBillable
  • C18.3Malignant neoplasm of hepatic flexureBillable
  • C18.4Malignant neoplasm of transverse colonBillable
  • C18.5Malignant neoplasm of splenic flexureBillable
  • C18.6Malignant neoplasm of descending colonBillable
  • C18.8Malignant neoplasm of overlapping sites of colonBillable
  • C18.9Malignant neoplasm of colon, unspecifiedBillable

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