"Question ID","Question","Discussion","Answer","Year" "20091104","MP/H Rules/Histology--Esophagus: How is histology coded for a biopsy of the esophagus with a pathologic diagnosis of ""adenocarcinoma, intestinal type"" when there is no evidence of a gastric tumor in scans or EDG? See Discussion.","There is a rule for colon to disregard ""intestinal type"" and code to adenocarcinoma (8140) but no rule for esophagus. How should histology for this esophageal case be coded?","

For cases diagnosed 2007 or later:

Follow MP/H Other Sites Rule H11 and code 8144/3 [Adenocarcinoma, intestinal type]. Adenocarcinoma, intestinal type, is called that because it resembles the normal pattern of adenocarcinoma seen in the large intestines. It is not an indication of the location of the adenocarcinoma. We find that it is not uncommon in the sinuses, stomach, lungs, cervix, and many other organs.

","2009"