| ICD-10 Code | Diagnosis | Coverage |
|---|---|---|
| C17.0 | Malignant neoplasm of duodenum | covered |
| C17.1 | Malignant neoplasm of jejunum | covered |
| C17.2 | Malignant neoplasm of ileum | covered |
| C17.3 | Meckel's diverticulum, malignant | covered |
| C17.8 | Malignant neoplasm of overlapping sites of small intestine | covered |
| C17.9 | Malignant neoplasm of small intestine, unspecified | covered |
| C18.0 | Malignant neoplasm of cecum | covered |
| C18.1 | Malignant neoplasm of appendix | covered |
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