C16.0 (Malignant neoplasm of cardia) compared with D13.1 (Benign neoplasm of stomach), from the official CMS tabular data. C16.0 and D13.1 name the same anatomical site (cardia) with a different neoplasm behavior. MedCoder-derived
Same anatomical site, different neoplasm behavior.
Same site — benign neoplasm (cardia)
The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.
Source: CMS Table of Neoplasms
Same site, different neoplasm behavior. C16.0 and D13.1 name the same anatomical site (cardia) with a different neoplasm behavior.
From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.
| C16.0Malignant neoplasm of cardia | D13.1Benign neoplasm of stomach | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | C00-D49 — Neoplasms | C00-D49 — Neoplasms |
| Definition | Malignant neoplasm of cardia is a billable ICD-10-CM diagnosis code (C16.0). | Benign neoplasm of stomach is a billable ICD-10-CM diagnosis code (D13.1). |
| Includes | Malignant neoplasm of cardiac orifice Malignant neoplasm of cardio-esophageal junction Malignant neoplasm of esophagus and stomach Malignant neoplasm of gastro-esophageal junction | — |
| Use additional code | code to identify: alcohol abuse and dependence (F10.-) | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources