Secondary malignant neoplasm of other digestive organs and spleen

This code signifies the presence of a malignant tumor that has spread to other digestive organs (excluding the stomach, small intestine, large intestine, rectum, anus, liver, gallbladder, and pancreas, which have their own specific secondary malignancy codes) or the spleen from a primary cancer site elsewhere in the body. It indicates metastatic disease affecting these particular anatomical locations within the digestive system or the spleen.

Use this code when medical record documentation clearly states a secondary or metastatic malignancy involving organs such as the esophagus, appendix, or peritoneum, or the spleen. It is appropriate when the primary site of the cancer is known or unknown, but the metastatic site is confirmed to be one of these "other" digestive organs or the spleen.

• Always sequence the primary malignancy code first, if known, followed by this code for the secondary site.
• Ensure documentation specifies "secondary" or "metastatic" and clearly identifies the affected organ(s) as one of the "other digestive organs" or the spleen.
• Avoid using this code if the secondary malignancy is in the liver (197.7), peritoneum (197.6), or other specified digestive organs with their own distinct codes.