{"code":"C25.3","type":"code","title":"Malignant neoplasm of pancreatic duct","codeAlso":["if applicable exocrine pancreatic insufficiency (K86.81)"],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["Kaposi's sarcoma of gastrointestinal sites (C46.4)"],"excludes2":["gastrointestinal stromal tumors (C49.A-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["C25","C25.0","C25.1","C25.2","C25.4","C25.7","C25.8","C25.9"],"inclusionTerms":[],"sibling_titles":{"code":"C25.9","title":"Malignant neoplasm of pancreas, unspecified","isBillable":true},"useAdditionalCode":["code to identify:","alcohol abuse and dependence (F10.-)"],"clinicalDefinition":"Malignant neoplasm of pancreatic duct is a billable ICD-10-CM diagnosis code (C25.3). Excludes1 (not coded here): Kaposi's sarcoma of gastrointestinal sites (C46.4). Excludes2 (not included here): gastrointestinal stromal tumors (C49.A-). Use additional code: code to identify:; alcohol abuse and dependence (F10.-). Code also: if applicable exocrine pancreatic insufficiency (K86.81).","officialDefinition":"Malignant neoplasm of pancreatic duct is a billable ICD-10-CM diagnosis code (C25.3). Excludes1 (not coded here): Kaposi's sarcoma of gastrointestinal sites (C46.4). Excludes2 (not included here): gastrointestinal stromal tumors (C49.A-). Use additional code: code to identify:; alcohol abuse and dependence (F10.-). Code also: if applicable exocrine pancreatic insufficiency (K86.81).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"Kaposi's sarcoma of gastrointestinal sites (C46.4)":"C25","gastrointestinal stromal tumors (C49.A-)":"C25","code to identify:":"C25","alcohol abuse and dependence (F10.-)":"C25"},"hcc":{"mapped":true,"model":"CMS-HCC V28","paymentYear":"2026","categories":[{"hcc":"20","label":"Lung and Other Severe Cancers","family":"Neoplasm","suppresses":[{"hcc":"21","label":"Lymphoma and Other Cancers"},{"hcc":"22","label":"Bladder, Colorectal, and Other Cancers"},{"hcc":"23","label":"Prostate, Breast, and Other Cancers and Tumors"}]}],"otherModels":[{"model":"CMS-HCC V22","hcc":"9"},{"model":"RxHCC V08","hcc":"20"}]}}