| DISEASE INDEX | DRUGS INDEX | MANUFACTURERS | ANATOMY | USA STATS | CHINA STATS | JOBS | GENOME DICTIONARY | |
![]() | ||
![]() |
||
![]() | ||
INTERNATIONAL CLASSIFICATION OF DISEASES | ||
![]() |
![]()
Custom Search
|
![]() |
![]() ![]() ![]() 2. Neoplasms (140-239)1. Content: This chapter contains the following broad groups: 140-195 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphatic and hematopoietic tissue 196-198 Malignant neoplasms, stated or presumed to be secondary, of specified sites 199 Malignant neoplasms, without specification of site 200-208 Malignant neoplasms, stated or presumed to be primary, of lymphatic and hematopoietic tissue 210-229 Benign neoplasms 230-234 Carcinoma in situ 235-238 Neoplasms of uncertain behavior [see Note, at beginning of section 235-238] 239 Neoplasms of unspecified nature 2. Functional activity All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 may be used to identify such functional activity associated with any neoplasm, e.g.: catecholamine-producing malignant pheochromocytoma of adrenal: code 194.0, additional code 255.6 basophil adenoma of pituitary with Cushing's syndrome: code 227.3, additional code 255.0 3. Morphology [Histology] For those wishing to identify the histological type of neoplasms, a comprehensive coded nomenclature, which comprises the morphology rubrics of the ICD-Oncology, is given after the E-code chapter. 4. Malignant neoplasms overlapping site boundaries Categories 140-195 are for the classification of primary malignant neoplasms according to their point of origin. A malignant neoplasm that overlaps two or more subcategories within a three-digit rubric and whose point of origin cannot be determined should be classified to the subcategory .8 "Other." For example, "carcinoma involving tip and ventral surface of tongue" should be assigned to 141.8. On the other hand, "carcinoma of tip of tongue, extending to involve the ventral surface" should be coded to 141.2, as the point of origin, the tip, is known. Three subcategories (149.8, 159.8, 165.8) have been provided for malignant neoplasms that overlap the boundaries of three-digit rubrics within certain systems. Overlapping malignant neoplasms that cannot be classified as indicated above should be assigned to the appropriate subdivision of category 195 (Malignant neoplasm of other and ill-defined sites). MALIGNANT NEOPLASM OF LIP, ORAL CAVITY, AND PHARYNX (140-149) Excludes: carcinoma in situ (230.0) 140 Malignant neoplasm of lip Excludes: skin of lip (173.0) 140.0 Upper lip, vermilion border Upper lip: NOS external lipstick area 140.1 Lower lip, vermilion border Lower lip: NOS external lipstick area 140.3 Upper lip, inner aspect Upper lip: buccal aspect frenulum mucosa oral aspect 140.4 Lower lip, inner aspect Lower lip: buccal aspect frenulum mucosa oral aspect 140.5 Lip, unspecified, inner aspect Lip, not specified whether upper or lower: buccal aspect frenulum mucosa oral aspect 140.6 Commissure of lip Labial commissure 140.8 Other sites of lip Malignant neoplasm of contiguous or overlapping sites of lip whose point of origin cannot be determined 140.9 Lip, unspecified, vermilion border Lip, not specified as upper or lower: NOS external lipstick area 141 Malignant neoplasm of tongue 141.0 Base of tongue Dorsal surface of base of tongue Fixed part of tongue NOS 141.1 Dorsal surface of tongue Anterior two-thirds of tongue, dorsal surface Dorsal tongue NOS Midline of tongue Excludes: dorsal surface of base of tongue (141.0) 141.2 Tip and lateral border of tongue 141.3 Ventral surface of tongue Anterior two-thirds of tongue, ventral surface Frenulum linguae 141.4 Anterior two-thirds of tongue, part unspecified Mobile part of tongue NOS 141.5 Junctional zone Border of tongue at junction of fixed and mobile parts at insertion of anterior tonsillar pillar 141.6 Lingual tonsil 141.8 Other sites of tongue Malignant neoplasm of contiguous or overlapping sites of tongue whose point of origin cannot be determined 141.9 Tongue, unspecified Tongue NOS 142 Malignant neoplasm of major salivary glands Includes: salivary ducts Excludes: malignant neoplasm of minor salivary glands: NOS (145.9) buccal mucosa (145.0) soft palate (145.3) tongue (141.0-141.9) tonsil, palatine (146.0) 142.0 Parotid gland 142.1 Submandibular gland Submaxillary gland 142.2 Sublingual gland 142.8 Other major salivary glands Malignant neoplasm of contiguous or overlapping sites of salivary glands and ducts whose point of origin cannot be determined 142.9 Salivary gland, unspecified Salivary gland (major) NOS 143 Malignant neoplasm of gum Includes: alveolar (ridge) mucosa gingiva (alveolar) (marginal) interdental papillae Excludes: malignant odontogenic neoplasms (170.0-170.1) 143.0 Upper gum 143.1 Lower gum 143.8 Other sites of gum Malignant neoplasm of contiguous or overlapping sites of gum whose point of origin cannot be determined 143.9 Gum, unspecified 144 Malignant neoplasm of floor of mouth 144.0 Anterior portion Anterior to the premolar-canine junction 144.1 Lateral portion 144.8 Other sites of floor of mouth Malignant neoplasm of contiguous or overlapping sites of floor of mouth whose point of origin cannot be determined 144.9 Floor of mouth, part unspecified 145 Malignant neoplasm of other and unspecified parts of mouth Excludes: mucosa of lips (140.0-140.9) 145.0 Cheek mucosa Buccal mucosa Cheek, inner aspect 145.1 Vestibule of mouth Buccal sulcus (upper) (lower) Labial sulcus (upper) (lower) 145.2 Hard palate 145.3 Soft palate Excludes: nasopharyngeal [posterior] [superior] surface of soft palate (147.3) 145.4 Uvula 145.5 Palate, unspecified Junction of hard and soft palate Roof of mouth 145.6 Retromolar area 145.8 Other specified parts of mouth Malignant neoplasm of contiguous or overlapping sites of mouth whose point of origin cannot be determined 145.9 Mouth, unspecified Buccal cavity NOS Minor salivary gland, unspecified site Oral cavity NOS 146 Malignant neoplasm of oropharynx 146.0 Tonsil Tonsil: NOS faucial palatine Excludes: lingual tonsil (141.6) pharyngeal tonsil (147.1) 146.1 Tonsillar fossa 146.2 Tonsillar pillars (anterior) (posterior) Faucial pillar Glossopalatine fold Palatoglossal arch Palatopharyngeal arch 146.3 Vallecula Anterior and medial surface of the pharyngoepiglottic fold 146.4 Anterior aspect of epiglottis Epiglottis, free border [margin] Glossoepiglottic fold(s) Excludes: epiglottis: NOS (161.1) suprahyoid portion (161.1) 146.5 Junctional region Junction of the free margin of the epiglottis, the aryepiglottic fold, and the pharyngoepiglottic fold 146.6 Lateral wall of oropharynx 146.7 Posterior wall of oropharynx 146.8 Other specified sites of oropharynx Branchial cleft Malignant neoplasm of contiguous or overlapping sites of oropharynx whose point of origin cannot be determined 146.9 Oropharynx, unspecified 147 Malignant neoplasm of nasopharynx 147.0 Superior wall Roof of nasopharynx 147.1 Posterior wall Adenoid Pharyngeal tonsil 147.2 Lateral wall Fossa of Rosenmüller Opening of auditory tube Pharyngeal recess 147.3 Anterior wall Floor of nasopharynx Nasopharyngeal [posterior] [superior] surface of soft palate Posterior margin of nasal septum and choanae 147.8 Other specified sites of nasopharynx Malignant neoplasm of contiguous or overlapping sites of nasopharynx whose point of origin cannot be determined 147.9 Nasopharynx, unspecified Nasopharyngeal wall NOS 148 Malignant neoplasm of hypopharynx 148.0 Postcricoid region 148.1 Pyriform sinus Pyriform fossa 148.2 Aryepiglottic fold, hypopharyngeal aspect Aryepiglottic fold or interarytenoid fold: NOS marginal zone Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (161.1) 148.3 Posterior hypopharyngeal wall 148.8 Other specified sites of hypopharynx Malignant neoplasm of contiguous or overlapping sites of hypopharynx whose point of origin cannot be determined 148.9 Hypopharynx, unspecified Hypopharyngeal wall NOS Hypopharynx NOS 149 Malignant neoplasm of other and ill-defined sites within the lip, oral cavity, and pharynx 149.0 Pharynx, unspecified 149.1 Waldeyer's ring 149.8 Other Malignant neoplasms of lip, oral cavity, and pharynx whose point of origin cannot be assigned to any one of the categories 140-148 Excludes: "book leaf" neoplasm [ventral surface of tongue and floor of mouth] (145.8) 149.9 Ill-defined MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159) Excludes: carcinoma in situ (230.1-230.9) 150 Malignant neoplasm of esophagus 150.0 Cervical esophagus 150.1 Thoracic esophagus 150.2 Abdominal esophagus Excludes: adenocarcinoma (151.0) cardio-esophageal junction (151.0) 150.3 Upper third of esophagus Proximal third of esophagus 150.4 Middle third of esophagus 150.5 Lower third of esophagus Distal third of esophagus Excludes: adenocarcinoma (151.0) cardio-esophageal junction (151.0) 150.8 Other specified part Malignant neoplasm of contiguous or overlapping sites of esophagus whose point of origin cannot be determined 150.9 Esophagus, unspecified 151 Malignant neoplasm of stomach Excludes: malignant stromal tumor of stomach (171.5) 151.0 Cardia Cardiac orifice Cardio-esophageal junction Excludes: squamous cell carcinoma (150.2, 150.5) 151.1 Pylorus Prepylorus Pyloric canal 151.2 Pyloric antrum Antrum of stomach NOS 151.3 Fundus of stomach 151.4 Body of stomach 151.5 Lesser curvature, unspecified Lesser curvature, not classifiable to 151.1-151.4 151.6 Greater curvature, unspecified Greater curvature, not classifiable to 151.0-151.4 151.8 Other specified sites of stomach Anterior wall, not classifiable to 151.0-151.4 Posterior wall, not classifiable to 151.0-151.4 Malignant neoplasm of contiguous or overlapping sites of stomach whose point of origin cannot be determined 151.9 Stomach, unspecified Carcinoma ventriculi Gastric cancer 152 Malignant neoplasm of small intestine, including duodenum Excludes: malignant stromal tumor of small intestine (171.5) 152.0 Duodenum 152.1 Jejunum 152.2 Ileum Excludes: ileocecal valve (153.4) 152.3 Meckel's diverticulum 152.8 Other specified sites of small intestine Duodenojejunal junction Malignant neoplasm of contiguous or overlapping sites of small intestine whose point of origin cannot be determined 152.9 Small intestine, unspecified 153 Malignant neoplasm of colon 153.0 Hepatic flexure 153.1 Transverse colon 153.2 Descending colon Left colon 153.3 Sigmoid colon Sigmoid (flexure) Excludes: rectosigmoid junction (154.0) 153.4 Cecum Ileocecal valve 153.5 Appendix 153.6 Ascending colon Right colon 153.7 Splenic flexure 153.8 Other specified sites of large intestine Malignant neoplasm of contiguous or overlapping sites of colon whose point of origin cannot be determined Excludes: ileocecal valve (153.4) rectosigmoid junction (154.0) 153.9 Colon, unspecified Large intestine NOS 154 Malignant neoplasm of rectum, rectosigmoid junction, and anus 154.0 Rectosigmoid junction Colon with rectum Rectosigmoid (colon) 154.1 Rectum Rectal ampulla 154.2 Anal canal Anal sphincter Excludes: skin of anus (172.5, 173.5) 154.3 Anus, unspecified Excludes: anus: margin (172.5, 173.5) skin (172.5, 173.5) perianal skin (172.5, 173.5) 154.8 Other Anorectum Cloacogenic zone Malignant neoplasm of contiguous or overlapping sites of rectum, rectosigmoid junction, and anus whose point of origin cannot be determined 155 Malignant neoplasm of liver and intrahepatic bile ducts 155.0 Liver, primary Carcinoma: liver, specified as primary hepatocellular liver cell Hepatoblastoma 155.1 Intrahepatic bile ducts Canaliculi biliferi Interlobular: bile ducts biliary canals Intrahepatic: biliary passages canaliculi gall duct Excludes: hepatic duct (156.1) 155.2 Liver, not specified as primary or secondary 156 Malignant neoplasm of gallbladder and extrahepatic bile ducts 156.0 Gallbladder 156.1 Extrahepatic bile ducts Biliary duct or passage NOS Common bile duct Cystic duct Hepatic duct Sphincter of Oddi 156.2 Ampulla of Vater 156.8 Other specified sites of gallbladder and extrahepatic bile ducts Malignant neoplasm of contiguous or overlapping sites of gallbladder and extrahepatic bile ducts whose point of origin cannot be determined 156.9 Biliary tract, part unspecified Malignant neoplasm involving both intrahepatic and extrahepatic bile ducts 157 Malignant neoplasm of pancreas 157.0 Head of pancreas 157.1 Body of pancreas 157.2 Tail of pancreas 157.3 Pancreatic duct Duct of: Santorini Wirsung 157.4 Islets of Langerhans Islets of Langerhans, any part of pancreas Use additional code to identify any functional activity 157.8 Other specified sites of pancreas Ectopic pancreatic tissue Malignant neoplasm of contiguous or overlapping sites of pancreas whose point of origin cannot be determined 157.9 Pancreas, part unspecified 158 Malignant neoplasm of retroperitoneum and peritoneum 158.0 Retroperitoneum Periadrenal tissue Perinephric tissue Perirenal tissue Retrocecal tissue 158.8 Specified parts of peritoneum Cul-de-sac (of Douglas) Mesentery Mesocolon Omentum Peritoneum: parietal pelvic Rectouterine pouch Malignant neoplasm of contiguous or overlapping sites of retroperitoneum and peritoneum whose point of origin cannot be determined 158.9 Peritoneum, unspecified 159 Malignant neoplasm of other and ill-defined sites within the digestive organs and peritoneum 159.0 Intestinal tract, part unspecified Intestine NOS 159.1 Spleen, not elsewhere classified Angiosarcoma of spleen Fibrosarcoma of spleen Excludes: Hodgkin's disease (201.0-201.9) lymphosarcoma (200.1) reticulosarcoma (200.0) 159.8 Other sites of digestive system and intra-abdominal organs Malignant neoplasm of digestive organs and peritoneum whose point of origin cannot be assigned to any one of the categories 150-158 Excludes: anus and rectum (154.8) cardio-esophageal junction (151.0) colon and rectum (154.0) 159.9 Ill-defined Alimentary canal or tract NOS Gastrointestinal tract NOS Excludes: abdominal NOS (195.2) intra-abdominal NOS (195.2) MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165) Excludes: carcinoma in situ (231.0-231.9) 160 Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses 160.0 Nasal cavities Cartilage of nose Conchae, nasal Internal nose Septum of nose Vestibule of nose Excludes: nasal bone (170.0) nose NOS (195.0) olfactory bulb (192.0) posterior margin of septum and choanae (147.3) skin of nose (172.3, 173.3) turbinates (170.0) 160.1 Auditory tube, middle ear, and mastoid air cells Antrum tympanicum Eustachian tube Tympanic cavity Excludes: auditory canal (external) (172.2, 173.2) bone of ear (meatus) (170.0) cartilage of ear (171.0) ear (external) (skin) (172.2, 173.2) 160.2 Maxillary sinus Antrum (Highmore) (maxillary) 160.3 Ethmoidal sinus 160.4 Frontal sinus 160.5 Sphenoidal sinus 160.8 Other Malignant neoplasm of contiguous or overlapping sites of nasal cavities, middle ear, and accessory sinuses whose point of origin cannot be determined 160.9 Accessory sinus, unspecified 161 Malignant neoplasm of larynx 161.0 Glottis Intrinsic larynx Laryngeal commissure (anterior) (posterior) True vocal cord Vocal cord NOS 161.1 Supraglottis Aryepiglottic fold or interarytenoid fold, laryngeal aspect Epiglottis (suprahyoid portion) NOS Extrinsic larynx False vocal cords Posterior (laryngeal) surface of epiglottis Ventricular bands Excludes: anterior aspect of epiglottis (146.4) aryepiglottic fold or interarytenoid fold: NOS (148.2) hypopharyngeal aspect (148.2) marginal zone (148.2) 161.2 Subglottis 161.3 Laryngeal cartilages Cartilage: arytenoid cricoid cuneiform thyroid 161.8 Other specified sites of larynx Malignant neoplasm of contiguous or overlapping sites of larynx whose point of origin cannot be determined 161.9 Larynx, unspecified 162 Malignant neoplasm of trachea, bronchus, and lung 162.0 Trachea Cartilage of trachea Mucosa of trachea 162.2 Main bronchus Carina Hilus of lung 162.3 Upper lobe, bronchus or lung 162.4 Middle lobe, bronchus or lung 162.5 Lower lobe, bronchus or lung 162.8 Other parts of bronchus or lung Malignant neoplasm of contiguous or overlapping sites of bronchus or lung whose point of origin cannot be determined 162.9 Bronchus and lung, unspecified 163 Malignant neoplasm of pleura 163.0 Parietal pleura 163.1 Visceral pleura 163.8 Other specified sites of pleura Malignant neoplasm of contiguous or overlapping sites of pleura whose point of origin cannot be determined 163.9 Pleura, unspecified 164 Malignant neoplasm of thymus, heart, and mediastinum 164.0 Thymus 164.1 Heart Endocardium Epicardium Myocardium Pericardium Excludes: great vessels (171.4) 164.2 Anterior mediastinum 164.3 Posterior mediastinum 164.8 Other Malignant neoplasm of contiguous or overlapping sites of thymus, heart, and mediastinum whose point of origin cannot be determined 164.9 Mediastinum, part unspecified 165 Malignant neoplasm of other and ill-defined sites within the respiratory system and intrathoracic organs 165.0 Upper respiratory tract, part unspecified 165.8 Other Malignant neoplasm of respiratory and intrathoracic organs whose point of origin cannot be assigned to any one of the categories 160-164 165.9 Ill-defined sites within the respiratory system Respiratory tract NOS Excludes: intrathoracic NOS (195.1) thoracic NOS (195.1) MALIGNANT NEOPLASM OF BONE, CONNECTIVE TISSUE, SKIN, AND BREAST (170-176) Excludes: carcinoma in situ: breast (233.0) skin (232.0-232.9) 170 Malignant neoplasm of bone and articular cartilage Includes: cartilage (articular) (joint) periosteum Excludes: bone marrow NOS (202.9) cartilage: ear (171.0) eyelid (171.0) larynx (161.3) nose (160.0) synovia (171.0-171.9) 170.0 Bones of skull and face, except mandible Bone: ethmoid frontal malar nasal occipital orbital parietal sphenoid temporal zygomatic Maxilla (superior) Turbinate Upper jaw bone Vomer Excludes: carcinoma, any type except intraosseous or odontogenic: maxilla, maxillary (sinus) (160.2) upper jaw bone (143.0) jaw bone (lower) (170.1) 170.1 Mandible Inferior maxilla Jaw bone NOS Lower jaw bone Excludes: carcinoma, any type except intraosseous or odontogenic: jaw bone NOS (143.9) lower (143.1) upper jaw bone (170.0) 170.2 Vertebral column, excluding sacrum and coccyx Spinal column Spine Vertebra Excludes: sacrum and coccyx (170.6) 170.3 Ribs, sternum, and clavicle Costal cartilage Costovertebral joint Xiphoid process 170.4 Scapula and long bones of upper limb Acromion Bones NOS of upper limb Humerus Radius Ulna 170.5 Short bones of upper limb Carpal Cuneiform, wrist Metacarpal Navicular, of hand Phalanges of hand Pisiform Scaphoid (of hand) Semilunar or lunate Trapezium Trapezoid Unciform 170.6 Pelvic bones, sacrum, and coccyx Coccygeal vertebra Ilium Ischium Pubic bone Sacral vertebra 170.7 Long bones of lower limb Bones NOS of lower limb Femur Fibula Tibia 170.8 Short bones of lower limb Astragalus [talus] Calcaneus Cuboid Cuneiform, ankle Metatarsal Navicular (of ankle) Patella Phalanges of foot Tarsal 170.9 Bone and articular cartilage, site unspecified 171 Malignant neoplasm of connective and other soft tissue Includes: blood vessel bursa fascia fat ligament, except uterine malignant stromal tumors muscle peripheral, sympathetic, and parasympathetic nerves and ganglia synovia tendon (sheath) Excludes: cartilage (of): articular (170.0-170.9) larynx (161.3) nose (160.0) connective tissue: breast (174.0-175.9) internal organs (except stromal tumors) code to malignant neoplasm of the site [e.g., leiomyosarcoma of stomach, 151.9] heart (164.1) uterine ligament (183.4) 171.0 Head, face, and neck Cartilage of: ear eyelid 171.2 Upper limb, including shoulder Arm Finger Forearm Hand 171.3 Lower limb, including hip Foot Leg Popliteal space Thigh Toe 171.4 Thorax Axilla Diaphragm Great vessels Excludes: heart (164.1) mediastinum (164.2-164.9) thymus (164.0) 171.5 Abdomen Abdominal wall Hypochondrium Excludes: peritoneum (158.8) retroperitoneum (158.0) 171.6 Pelvis Buttock Groin Inguinal region Perineum Excludes: pelvic peritoneum (158.8) retroperitoneum (158.0) uterine ligament, any (183.3-183.5) 171.7 Trunk, unspecified Back NOS Flank NOS 171.8 Other specified sites of connective and other soft tissue Malignant neoplasm of contiguous or overlapping sites of connective tissue whose point of origin cannot be determined 171.9 Connective and other soft tissue, site unspecified 172 Malignant melanoma of skin Includes: melanocarcinoma melanoma (skin) NOS Excludes: skin of genital organs (184.0-184.9, 187.1-187.9) sites other than skincode to malignant neoplasm of the site 172.0 Lip Excludes: vermilion border of lip (140.0-140.1, 140.9) 172.1 Eyelid, including canthus 172.2 Ear and external auditory canal Auricle (ear) Auricular canal, external External [acoustic] meatus Pinna 172.3 Other and unspecified parts of face Cheek (external) Chin Eyebrow Forehead Nose, external Temple 172.4 Scalp and neck 172.5 Trunk, except scrotum Axilla Breast Buttock Groin Perianal skin Perineum Umbilicus Excludes: anal canal (154.2) anus NOS (154.3) scrotum (187.7) 172.6 Upper limb, including shoulder Arm Finger Forearm Hand 172.7 Lower limb, including hip Ankle Foot Heel Knee Leg Popliteal area Thigh Toe 172.8 Other specified sites of skin Malignant melanoma of contiguous or overlapping sites of skin whose point of origin cannot be determined 172.9 Melanoma of skin, site unspecified 173 Other malignant neoplasm of skin Includes: malignant neoplasm of: sebaceous glands sudoriferous, sudoriparous glands sweat glands Excludes: Kaposi's sarcoma (176.0-176.9) malignant melanoma of skin (172.0-172.9) skin of genital organs (184.0-184.9, 187.1-187.9) 173.0 Skin of lip Excludes: vermilion border of lip (140.0-140.1, 140.9) 173.1 Eyelid, including canthus Excludes: cartilage of eyelid (171.0) 173.2 Skin of ear and external auditory canal Auricle (ear) Auricular canal, external External meatus Pinna Excludes: cartilage of ear (171.0) 173.3 Skin of other and unspecified parts of face Cheek, external Chin Eyebrow Forehead Nose, external Temple 173.4 Scalp and skin of neck 173.5 Skin of trunk, except scrotum Axillary fold Perianal skin Skin of: abdominal wall anus back breast buttock chest wall groin perineum Umbilicus Excludes: anal canal (154.2) anus NOS (154.3) skin of scrotum (187.7) 173.6 Skin of upper limb, including shoulder Arm Finger Forearm Hand 173.7 Skin of lower limb, including hip Ankle Foot Heel Knee Leg Popliteal area Thigh Toe 173.8 Other specified sites of skin Malignant neoplasm of contiguous or overlapping sites of skin whose point of origin cannot be determined 173.9 Skin, site unspecified 174 Malignant neoplasm of female breast Includes: breast (female) connective tissue soft parts Paget's disease of: breast nipple Use additional code to identify estrogen receptor status (V86.0, V86.1) Excludes: skin of breast (172.5, 173.5) 174.0 Nipple and areola 174.1 Central portion 174.2 Upper-inner quadrant 174.3 Lower-inner quadrant 174.4 Upper-outer quadrant 174.5 Lower-outer quadrant 174.6 Axillary tail 174.8 Other specified sites of female breast Ectopic sites Inner breast Lower breast Midline of breast Outer breast Upper breast Malignant neoplasm of contiguous or overlapping sites of breast whose point of origin cannot be determined 174.9 Breast (female), unspecified 175 Malignant neoplasm of male breast Use additional code to identify estrogen receptor status (V86.0, V86.1) Excludes: skin of breast (172.5, 173.5) 175.0 Nipple and areola 175.9 Other and unspecified sites of male breast Ectopic breast tissue, male 176 Kaposi's sarcoma 176.0 Skin 176.1 Soft tissue Blood vessel Connective tissue Fascia Ligament Lymphatic(s) NEC Muscle Excludes: lymph glands and nodes (176.5) 176.2 Palate 176.3 Gastrointestinal sites 176.4 Lung 176.5 Lymph nodes 176.8 Other specified sites Oral cavity NEC 176.9 Unspecified Viscera NOS MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189) Excludes: carcinoma in situ (233.1-233.9) 179 Malignant neoplasm of uterus, part unspecified 180 Malignant neoplasm of cervix uteri Includes: invasive malignancy [carcinoma] Excludes: carcinoma in situ (233.1) 180.0 Endocervix Cervical canal NOS Endocervical canal Endocervical gland 180.1 Exocervix 180.8 Other specified sites of cervix Cervical stump Squamocolumnar junction of cervix Malignant neoplasm of contiguous or overlapping sites of cervix uteri whose point of origin cannot be determined 180.9 Cervix uteri, unspecified 181 Malignant neoplasm of placenta Choriocarcinoma NOS Chorioepithelioma NOS Excludes: chorioadenoma (destruens) (236.1) hydatidiform mole (630) malignant (236.1) invasive mole (236.1) male choriocarcinoma NOS (186.0-186.9) 182 Malignant neoplasm of body of uterus Excludes: carcinoma in situ (233.2) 182.0 Corpus uteri, except isthmus Cornu Endometrium Fundus Myometrium 182.1 Isthmus Lower uterine segment 182.8 Other specified sites of body of uterus Malignant neoplasm of contiguous or overlapping sites of body of uterus whose point of origin cannot be determined Excludes: uterus NOS (179) 183 Malignant neoplasm of ovary and other uterine adnexa Excludes: Douglas' cul-de-sac (158.8) 183.0 Ovary Use additional code to identify any functional activity 183.2 Fallopian tube Oviduct Uterine tube 183.3 Broad ligament Mesovarium Parovarian region 183.4 Parametrium Uterine ligament NOS Uterosacral ligament 183.5 Round ligament 183.8 Other specified sites of uterine adnexa Tubo-ovarian Utero-ovarian Malignant neoplasm of contiguous or overlapping sites of ovary and other uterine adnexa whose point of origin cannot be determined 183.9 Uterine adnexa, unspecified 184 Malignant neoplasm of other and unspecified female genital organs Excludes: carcinoma in situ (233.30-233.39) 184.0 Vagina Gartner's duct Vaginal vault 184.1 Labia majora Greater vestibular [Bartholin's] gland 184.2 Labia minora 184.3 Clitoris 184.4 Vulva, unspecified External female genitalia NOS Pudendum 184.8 Other specified sites of female genital organs Malignant neoplasm of contiguous or overlapping sites of female genital organs whose point of origin cannot be determined 184.9 Female genital organ, site unspecified Female genitourinary tract NOS 185 Malignant neoplasm of prostate Excludes: seminal vesicles (187.8) 186 Malignant neoplasm of testis Use additional code to identify any functional activity 186.0 Undescended testis Ectopic testis Retained testis 186.9 Other and unspecified testis Testis: NOS descended scrotal 187 Malignant neoplasm of penis and other male genital organs 187.1 Prepuce Foreskin 187.2 Glans penis 187.3 Body of penis Corpus cavernosum 187.4 Penis, part unspecified Skin of penis NOS 187.5 Epididymis 187.6 Spermatic cord Vas deferens 187.7 Scrotum Skin of scrotum 187.8 Other specified sites of male genital organs Seminal vesicle Tunica vaginalis Malignant neoplasm of contiguous or overlapping sites of penis and other male genital organs whose point of origin cannot be determined 187.9 Male genital organ, site unspecified Male genital organ or tract NOS 188 Malignant neoplasm of bladder Excludes: carcinoma in situ (233.7) 188.0 Trigone of urinary bladder 188.1 Dome of urinary bladder 188.2 Lateral wall of urinary bladder 188.3 Anterior wall of urinary bladder 188.4 Posterior wall of urinary bladder 188.5 Bladder neck Internal urethral orifice 188.6 Ureteric orifice 188.7 Urachus 188.8 Other specified sites of bladder Malignant neoplasm of contiguous or overlapping sites of bladder whose point of origin cannot be determined 188.9 Bladder, part unspecified Bladder wall NOS 189 Malignant neoplasm of kidney and other and unspecified urinary organs 189.0 Kidney, except pelvis Kidney NOS Kidney parenchyma 189.1 Renal pelvis Renal calyces Ureteropelvic junction 189.2 Ureter Excludes: ureteric orifice of bladder (188.6) 189.3 Urethra Excludes: urethral orifice of bladder (188.5) 189.4 Paraurethral glands 189.8 Other specified sites of urinary organs Malignant neoplasm of contiguous or overlapping sites of kidney and other urinary organs whose point of origin cannot be determined 189.9 Urinary organ, site unspecified Urinary system NOS MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199) Excludes: carcinoma in situ (234.0-234.9) 190 Malignant neoplasm of eye Excludes: carcinoma in situ (234.0) eyelid (skin) (172.1, 173.1) cartilage (171.0) optic nerve (192.0) orbital bone (170.0) 190.0 Eyeball, except conjunctiva, cornea, retina, and choroid Ciliary body Crystalline lens Iris Sclera Uveal tract 190.1 Orbit Connective tissue of orbit Extraocular muscle Retrobulbar Excludes: bone of orbit (170.0) 190.2 Lacrimal gland 190.3 Conjunctiva 190.4 Cornea 190.5 Retina 190.6 Choroid 190.7 Lacrimal duct Lacrimal sac Nasolacrimal duct 190.8 Other specified sites of eye Malignant neoplasm of contiguous or overlapping sites of eye whose point of origin cannot be determined 190.9 Eye, part unspecified 191 Malignant neoplasm of brain Excludes: cranial nerves (192.0) retrobulbar area (190.1) 191.0 Cerebrum, except lobes and ventricles Basal ganglia Cerebral cortex Corpus striatum Globus pallidus Hypothalamus Thalamus 191.1 Frontal lobe 191.2 Temporal lobe Hippocampus Uncus 191.3 Parietal lobe 191.4 Occipital lobe 191.5 Ventricles Choroid plexus Floor of ventricle 191.6 Cerebellum NOS Cerebellopontine angle 191.7 Brain stem Cerebral peduncle Medulla oblongata Midbrain Pons 191.8 Other parts of brain Corpus callosum Tapetum Malignant neoplasm of contiguous or overlapping sites of brain whose point of origin cannot be determined 191.9 Brain, unspecified Cranial fossa NOS 192 Malignant neoplasm of other and unspecified parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (171.0-171.9) 192.0 Cranial nerves Olfactory bulb 192.1 Cerebral meninges Dura (mater) Falx (cerebelli) (cerebri) Meninges NOS Tentorium 192.2 Spinal cord Cauda equina 192.3 Spinal meninges 192.8 Other specified sites of nervous system Malignant neoplasm of contiguous or overlapping sites of other parts of nervous system whose point of origin cannot be determined 192.9 Nervous system, part unspecified Nervous system (central) NOS Excludes: meninges NOS (192.1) 193 Malignant neoplasm of thyroid gland Thyroglossal duct Use additional code to identify any functional activity 194 Malignant neoplasm of other endocrine glands and related structures Use additional code to identify any functional activity Excludes: islets of Langerhans (157.4) ovary (183.0) testis (186.0-186.9) thymus (164.0) 194.0 Adrenal gland Adrenal cortex Adrenal medulla Suprarenal gland 194.1 Parathyroid gland 194.3 Pituitary gland and craniopharyngeal duct Craniobuccal pouch Hypophysis Rathke's pouch Sella turcica 194.4 Pineal gland 194.5 Carotid body 194.6 Aortic body and other paraganglia Coccygeal body Glomus jugulare Para-aortic body 194.8 Other Pluriglandular involvement NOS Note: If the sites of multiple involvements are known, they should be coded separately. 194.9 Endocrine gland, site unspecified 195 Malignant neoplasm of other and ill-defined sites Includes: malignant neoplasms of contiguous sites, not elsewhere classified, whose point of origin cannot be determined Excludes: malignant neoplasm: lymphatic and hematopoietic tissue (200.0-208.9) secondary sites (196.0-198.8) unspecified site (199.0-199.1) 195.0 Head, face, and neck Cheek NOS Jaw NOS Nose NOS Supraclavicular region NOS 195.1 Thorax Axilla Chest (wall) NOS Intrathoracic NOS 195.2 Abdomen Intra-abdominal NOS 195.3 Pelvis Groin Inguinal region NOS Presacral region Sacrococcygeal region Sites overlapping systems within pelvis, as: rectovaginal (septum) rectovesical (septum) 195.4 Upper limb 195.5 Lower limb 195.8 Other specified sites Back NOS Flank NOS Trunk NOS 196 Secondary and unspecified malignant neoplasm of lymph nodes Excludes: any malignant neoplasm of lymph nodes, specified as primary (200.0-202.9) Hodgkin's disease (201.0-201.9) lymphosarcoma (200.1) reticulosarcoma (200.0) other forms of lymphoma (202.0-202.9) 196.0 Lymph nodes of head, face, and neck Cervical Cervicofacial Scalene Supraclavicular 196.1 Intrathoracic lymph nodes Bronchopulmonary Intercostal Mediastinal Tracheobronchial 196.2 Intra-abdominal lymph nodes Intestinal Mesenteric Retroperitoneal 196.3 Lymph nodes of axilla and upper limb Brachial Epitrochlear Infraclavicular Pectoral 196.5 Lymph nodes of inguinal region and lower limb Femoral Groin Popliteal Tibial 196.6 Intrapelvic lymph nodes Hypogastric Iliac Obturator Parametrial 196.8 Lymph nodes of multiple sites 196.9 Site unspecified Lymph nodes NOS 197 Secondary malignant neoplasm of respiratory and digestive systems Excludes: lymph node metastasis (196.0-196.9) 197.0 Lung Bronchus 197.1 Mediastinum 197.2 Pleura 197.3 Other respiratory organs Trachea 197.4 Small intestine, including duodenum 197.5 Large intestine and rectum 197.6 Retroperitoneum and peritoneum 197.7 Liver, specified as secondary 197.8 Other digestive organs and spleen 198 Secondary malignant neoplasm of other specified sites Excludes: lymph node metastasis (196.0-196.9) 198.0 Kidney 198.1 Other urinary organs 198.2 Skin Skin of breast 198.3 Brain and spinal cord 198.4 Other parts of nervous system Meninges (cerebral) (spinal) 198.5 Bone and bone marrow 198.6 Ovary 198.7 Adrenal gland Suprarenal gland 198.8 Other specified sites 198.81 Breast Excludes: skin of breast (198.2) 198.82 Genital organs 198.89 Other Excludes: retroperitoneal lymph nodes (196.2) 199 Malignant neoplasm without specification of site 199.0 Disseminated Carcinomatosis unspecified site (primary) (secondary) Generalized: cancer unspecified site (primary) (secondary) malignancy unspecified site (primary) (secondary) Multiple cancer unspecified site (primary) (secondary) 199.1 Other Cancer unspecified site (primary) (secondary) Carcinoma unspecified site (primary) (secondary) Malignancy unspecified site (primary) (secondary) MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE (200-208) Excludes: secondary neoplasm of: bone marrow (198.5) spleen (197.8) secondary and unspecified neoplasm of lymph nodes (196.0-196.9) The following fifth-digit subclassification is for use with categories 200-202: 0 unspecified site, extranodal and solid organ sites 1 lymph nodes of head, face, and neck 2 intrathoracic lymph nodes 3 intra-abdominal lymph nodes 4 lymph nodes of axilla and upper limb 5 lymph nodes of inguinal region and lower limb 6 intrapelvic lymph nodes 7 spleen 8 lymph nodes of multiple sites 200 Lymphosarcoma and reticulosarcoma and other specified malignant tumors of lymphatic tissue Requires fifth digit. See note before section 200 for codes and definitions. 200.0 Reticulosarcoma Lymphoma (malignant): histiocytic (diffuse): nodular pleomorphic cell type reticulum cell type Reticulum cell sarcoma: NOS pleomorphic cell type 200.1 Lymphosarcoma Lymphoblastoma (diffuse) Lymphoma (malignant): lymphoblastic (diffuse) lymphocytic (cell type) (diffuse) lymphosarcoma type Lymphosarcoma: NOS diffuse NOS lymphoblastic (diffuse) lymphocytic (diffuse) prolymphocytic Excludes: lymphosarcoma: follicular or nodular (202.0) mixed cell type (200.8) lymphosarcoma cell leukemia (207.8) 200.2 Burkitt's tumor or lymphoma Malignant lymphoma, Burkitt's type 200.3 Marginal zone lymphoma Extranodal marginal zone B cell lymphoma Mucosa associated lymphoid tissue [MALT] Nodal marginal zone B cell lymphoma Splenic marginal zone B cell lymphoma 200.4 Mantle cell lymphoma 200.5 Primary central nervous system lymphoma 200.6 Anaplastic large cell lymphoma 200.7 Large cell lymphoma 200.8 Other named variants Lymphoma (malignant): lymphoplasmacytoid type mixed lymphocytic-histiocytic (diffuse) Lymphosarcoma, mixed cell type (diffuse) Reticulolymphosarcoma (diffuse) 201 Hodgkin's disease Requires fifth digit. See note before section 200 for codes and definitions. 201.0 Hodgkin's paragranuloma 201.1 Hodgkin's granuloma 201.2 Hodgkin's sarcoma 201.4 Lymphocytic-histiocytic predominance 201.5 Nodular sclerosis Hodgkin's disease, nodular sclerosis: NOS cellular phase 201.6 Mixed cellularity 201.7 Lymphocytic depletion Hodgkin's disease, lymphocytic depletion: NOS diffuse fibrosis reticular type 201.9 Hodgkin's disease, unspecified Hodgkin's: disease NOS lymphoma NOS Malignant: lymphogranuloma lymphogranulomatosis 202 Other malignant neoplasms of lymphoid and histiocytic tissue Requires fifth digit. See note before section 200 for codes and definitions. 202.0 Nodular lymphoma Brill-Symmers disease Lymphoma: follicular (giant) lymphocytic, nodular Lymphosarcoma: follicular (giant) nodular 202.1 Mycosis fungoides 202.2 Sézary's disease 202.3 Malignant histiocytosis Histiocytic medullary reticulosis Malignant: reticuloendotheliosis reticulosis 202.4 Leukemic reticuloendotheliosis Hairy-cell leukemia 202.5 Letterer-Siwe disease Acute: differentiated progressive histiocytosis histiocytosis X (progressive) infantile reticuloendotheliosis reticulosis of infancy Excludes: Hand-Schüller-Christian disease (277.89) histiocytosis (acute) (chronic) (277.89) histiocytosis X (chronic) (277.89) 202.6 Malignant mast cell tumors Malignant: mastocytoma mastocytosis Mast cell sarcoma Systemic tissue mast cell disease Excludes: mast cell leukemia (207.8) 202.7 Peripheral T cell lymphoma 202.8 Other lymphomas Lymphoma (malignant): NOS diffuse Excludes: benign lymphoma (229.0) 202.9 Other and unspecified malignant neoplasms of lymphoid and histiocytic tissue Follicular dendritic cell sarcoma Interdigitating dendritic cell sarcoma Langerhans cell sarcoma Malignant neoplasm of bone marrow NOS 203 Multiple myeloma and immunoproliferative neoplasms The following fifth-digit subclassification is for use with category 203: 0 without mention of remission 1 in remission 203.0 Multiple myeloma Kahler's disease Myelomatosis Excludes: solitary myeloma (238.6) 203.1 Plasma cell leukemia Plasmacytic leukemia 203.8 Other immunoproliferative neoplasms 204 Lymphoid leukemia Includes: leukemia: lymphatic lymphoblastic lymphocytic lymphogenous The following fifth-digit subclassification is for use with category 204: 0 without mention of remission 1 in remission 204.0 Acute Excludes: acute exacerbation of chronic lymphoid leukemia (204.1) 204.1 Chronic 204.2 Subacute 204.8 Other lymphoid leukemia Aleukemic leukemia: lymphatic lymphocytic lymphoid 204.9 Unspecified lymphoid leukemia 205 Myeloid leukemia Includes: leukemia: granulocytic myeloblastic myelocytic myelogenous myelomonocytic myelosclerotic myelosis The following fifth-digit subclassification is for use with category 205: 0 without mention of remission 1 in remission 205.0 Acute Acute promyelocytic leukemia Excludes: acute exacerbation of chronic myeloid leukemia (205.1) 205.1 Chronic Eosinophilic leukemia Neutrophilic leukemia 205.2 Subacute 205.3 Myeloid sarcoma Chloroma Granulocytic sarcoma 205.8 Other myeloid leukemia Aleukemic leukemia: granulocytic myelogenous myeloid Aleukemic myelosis 205.9 Unspecified myeloid leukemia 206 Monocytic leukemia Includes: leukemia: histiocytic monoblastic monocytoid The following fifth-digit subclassification is for use with category 206: 0 without mention of remission 1 in remission 206.0 Acute Excludes: acute exacerbation of chronic monocytic leukemia (206.1) 206.1 Chronic 206.2 Subacute 206.8 Other monocytic leukemia Aleukemic: monocytic leukemia monocytoid leukemia 206.9 Unspecified monocytic leukemia 207 Other specified leukemia Excludes: leukemic reticuloendotheliosis (202.4) plasma cell leukemia (203.1) The following fifth-digit subclassification is for use with category 207: 0 without mention of remission 1 in remission 207.0 Acute erythremia and erythroleukemia Acute erythremic myelosis Di Guglielmo's disease Erythremic myelosis 207.1 Chronic erythremia Heilmeyer-Schöner disease 207.2 Megakaryocytic leukemia Megakaryocytic myelosis Thrombocytic leukemia 207.8 Other specified leukemia Lymphosarcoma cell leukemia 208 Leukemia of unspecified cell type The following fifth-digit subclassification is for use with category 208: 0 without mention of remission 1 in remission 208.0 Acute Acute leukemia NOS Blast cell leukemia Stem cell leukemia Excludes: acute exacerbation of chronic unspecified leukemia (208.1) 208.1 Chronic Chronic leukemia NOS 208.2 Subacute Subacute leukemia NOS 208.8 Other leukemia of unspecified cell type 208.9 Unspecified leukemia Leukemia NOS BENIGN NEOPLASMS (210-229) 210 Benign neoplasm of lip, oral cavity, and pharynx Excludes: cyst (of): jaw (526.0-526.2, 526.89) oral soft tissue (528.4) radicular (522.8) 210.0 Lip Frenulum labii Lip (inner aspect) (mucosa) (vermilion border) Excludes: labial commissure (210.4) skin of lip (216.0) 210.1 Tongue Lingual tonsil 210.2 Major salivary glands Gland: parotid sublingual submandibular Excludes: benign neoplasms of minor salivary glands: NOS (210.4) buccal mucosa (210.4) lips (210.0) palate (hard) (soft) (210.4) tongue (210.1) tonsil, palatine (210.5) 210.3 Floor of mouth 210.4 Other and unspecified parts of mouth Gingiva Gum (upper) (lower) Labial commissure Oral cavity NOS Oral mucosa Palate (hard) (soft) Uvula Excludes: benign odontogenic neoplasms of bone (213.0-213.1) developmental odontogenic cysts (526.0) mucosa of lips (210.0) nasopharyngeal [posterior] [superior] surface of soft palate (210.7) 210.5 Tonsil Tonsil (faucial) (palatine) Excludes: lingual tonsil (210.1) pharyngeal tonsil (210.7) tonsillar: fossa (210.6) pillars (210.6) 210.6 Other parts of oropharynx Branchial cleft or vestiges Epiglottis, anterior aspect Fauces NOS Mesopharynx NOS Tonsillar: fossa pillars Vallecula Excludes: epiglottis: NOS (212.1) suprahyoid portion (212.1) 210.7 Nasopharynx Adenoid tissue Lymphadenoid tissue Pharyngeal tonsil Posterior nasal septum 210.8 Hypopharynx Arytenoid fold Laryngopharynx Postcricoid region Pyriform fossa 210.9 Pharynx, unspecified Throat NOS 211 Benign neoplasm of other parts of digestive system Excludes: benign stromal tumors of digestive system (215.5) 211.0 Esophagus 211.1 Stomach Body of stomach Cardia of stomach Fundus of stomach Cardiac orifice Pylorus 211.2 Duodenum, jejunum, and ileum Small intestine NOS Excludes: ampulla of Vater (211.5) ileocecal valve (211.3) 211.3 Colon Appendix Cecum Ileocecal valve Large intestine NOS Excludes: rectosigmoid junction (211.4) 211.4 Rectum and anal canal Anal canal or sphincter Anus NOS Rectosigmoid junction Excludes: anus: margin (216.5) skin (216.5) perianal skin (216.5) 211.5 Liver and biliary passages Ampulla of Vater Common bile duct Cystic duct Gallbladder Hepatic duct Sphincter of Oddi 211.6 Pancreas, except islets of Langerhans 211.7 Islets of Langerhans Islet cell tumor Use additional code to identify any functional activity 211.8 Retroperitoneum and peritoneum Mesentery Mesocolon Omentum Retroperitoneal tissue 211.9 Other and unspecified site Alimentary tract NOS Digestive system NOS Gastrointestinal tract NOS Intestinal tract NOS Intestine NOS Spleen, not elsewhere classified 212 Benign neoplasm of respiratory and intrathoracic organs 212.0 Nasal cavities, middle ear, and accessory sinuses Cartilage of nose Eustachian tube Nares Septum of nose Sinus: ethmoidal frontal maxillary sphenoidal Excludes: auditory canal (external) (216.2) bone of: ear (213.0) nose [turbinates] (213.0) cartilage of ear (215.0) ear (external) (skin) (216.2) nose NOS (229.8) skin (216.3) olfactory bulb (225.1) polyp of: accessory sinus (471.8) ear (385.30-385.35) nasal cavity (471.0) posterior margin of septum and choanae (210.7) 212.1 Larynx Cartilage: arytenoid cricoid cuneiform thyroid Epiglottis (suprahyoid portion) NOS Glottis Vocal cords (false) (true) Excludes: epiglottis, anterior aspect (210.6) polyp of vocal cord or larynx (478.4) 212.2 Trachea 212.3 Bronchus and lung Carina Hilus of lung 212.4 Pleura 212.5 Mediastinum 212.6 Thymus 212.7 Heart Excludes: great vessels (215.4) 212.8 Other specified sites 212.9 Site unspecified Respiratory organ NOS Upper respiratory tract NOS Excludes: intrathoracic NOS (229.8) thoracic NOS (229.8) 213 Benign neoplasm of bone and articular cartilage Includes: cartilage (articular) (joint) periosteum Excludes: cartilage of: ear (215.0) eyelid (215.0) larynx (212.1) nose (212.0) exostosis NOS (726.91) synovia (215.0-215.9) 213.0 Bones of skull and face Excludes: lower jaw bone (213.1) 213.1 Lower jaw bone 213.2 Vertebral column, excluding sacrum and coccyx 213.3 Ribs, sternum, and clavicle 213.4 Scapula and long bones of upper limb 213.5 Short bones of upper limb 213.6 Pelvic bones, sacrum, and coccyx 213.7 Long bones of lower limb 213.8 Short bones of lower limb 213.9 Bone and articular cartilage, site unspecified 214 Lipoma Includes: angiolipoma fibrolipoma hibernoma lipoma (fetal) (infiltrating) (intramuscular) myelolipoma myxolipoma 214.0 Skin and subcutaneous tissue of face 214.1 Other skin and subcutaneous tissue 214.2 Intrathoracic organs 214.3 Intra-abdominal organs 214.4 Spermatic cord 214.8 Other specified sites 214.9 Lipoma, unspecified site 215 Other benign neoplasm of connective and other soft tissue Includes: blood vessel bursa fascia ligament muscle peripheral, sympathetic, and parasympathetic nerves and ganglia synovia tendon (sheath) Excludes: cartilage: articular (213.0-213.9) larynx (212.1) nose (212.0) connective tissue of: breast (217) internal organ, except lipoma and hemangiomacode to benign neoplasm of the site lipoma (214.0-214.9) 215.0 Head, face, and neck 215.2 Upper limb, including shoulder 215.3 Lower limb, including hip 215.4 Thorax Excludes: heart (212.7) mediastinum (212.5) thymus (212.6) 215.5 Abdomen Abdominal wall Benign stromal tumors of abdomen Hypochondrium 215.6 Pelvis Buttock Groin Inguinal region Perineum Excludes: uterine: leiomyoma (218.0-218.9) ligament, any (221.0) 215.7 Trunk, unspecified Back NOS Flank NOS 215.8 Other specified sites 215.9 Site unspecified 216 Benign neoplasm of skin Includes: blue nevus dermatofibroma hydrocystoma pigmented nevus syringoadenoma syringoma Excludes: skin of genital organs (221.0-222.9) 216.0 Skin of lip Excludes: vermilion border of lip (210.0) 216.1 Eyelid, including canthus Excludes: cartilage of eyelid (215.0) 216.2 Ear and external auditory canal Auricle (ear) Auricular canal, external External meatus Pinna Excludes: cartilage of ear (215.0) 216.3 Skin of other and unspecified parts of face Cheek, external Eyebrow Nose, external Temple 216.4 Scalp and skin of neck 216.5 Skin of trunk, except scrotum Axillary fold Perianal skin Skin of: abdominal wall anus back breast buttock chest wall groin perineum Umbilicus Excludes: anal canal (211.4) anus NOS (211.4) skin of scrotum (222.4) 216.6 Skin of upper limb, including shoulder 216.7 Skin of lower limb, including hip 216.8 Other specified sites of skin 216.9 Skin, site unspecified 217 Benign neoplasm of breast Breast (male) (female) connective tissue glandular tissue soft parts Excludes: adenofibrosis (610.2) benign cyst of breast (610.0) fibrocystic disease (610.1) skin of breast (216.5) 218 Uterine leiomyoma Includes: fibroid (bleeding) (uterine) uterine: fibromyoma myoma 218.0 Submucous leiomyoma of uterus 218.1 Intramural leiomyoma of uterus Interstitial leiomyoma of uterus 218.2 Subserous leiomyoma of uterus Subperitoneal leiomyoma of uterus 218.9 Leiomyoma of uterus, unspecified 219 Other benign neoplasm of uterus 219.0 Cervix uteri 219.1 Corpus uteri Endometrium Fundus Myometrium 219.8 Other specified parts of uterus 219.9 Uterus, part unspecified 220 Benign neoplasm of ovary Use additional code to identify any functional activity (256.0-256.1) Excludes: cyst: corpus albicans (620.2) corpus luteum (620.1) endometrial (617.1) follicular (atretic) (620.0) graafian follicle (620.0) ovarian NOS (620.2) retention (620.2) 221 Benign neoplasm of other female genital organs Includes: adenomatous polyp benign teratoma Excludes: cyst: epoophoron (752.11) fimbrial (752.11) Gartner's duct (752.11) parovarian (752.11) 221.0 Fallopian tube and uterine ligaments Oviduct Parametrium Uterine ligament (broad) (round) (uterosacral) Uterine tube 221.1 Vagina 221.2 Vulva Clitoris External female genitalia NOS Greater vestibular [Bartholin's] gland Labia (majora) (minora) Pudendum Excludes: Bartholin's (duct) (gland) cyst (616.2) 221.8 Other specified sites of female genital organs 221.9 Female genital organ, site unspecified Female genitourinary tract NOS 222 Benign neoplasm of male genital organs 222.0 Testis Use additional code to identify any functional activity 222.1 Penis Corpus cavernosum Glans penis Prepuce 222.2 Prostate Excludes: adenomatous hyperplasia of prostate (600.20-600.21) prostatic: adenoma (600.20-600.21) enlargement (600.00-600.01) hypertrophy (600.00-600.01) 222.3 Epididymis 222.4 Scrotum Skin of scrotum 222.8 Other specified sites of male genital organs Seminal vesicle Spermatic cord 222.9 Male genital organ, site unspecified Male genitourinary tract NOS 223 Benign neoplasm of kidney and other urinary organs 223.0 Kidney, except pelvis Kidney NOS Excludes: renal: calyces (223.1) pelvis (223.1) 223.1 Renal pelvis 223.2 Ureter Excludes: ureteric orifice of bladder (223.3) 223.3 Bladder 223.8 Other specified sites of urinary organs 223.81 Urethra Excludes: urethral orifice of bladder (223.3) 223.89 Other Paraurethral glands 223.9 Urinary organ, site unspecified Urinary system NOS 224 Benign neoplasm of eye Excludes: cartilage of eyelid (215.0) eyelid (skin) (216.1) optic nerve (225.1) orbital bone (213.0) 224.0 Eyeball, except conjunctiva, cornea, retina, and choroid Ciliary body Iris Sclera Uveal tract 224.1 Orbit Excludes: bone of orbit (213.0) 224.2 Lacrimal gland 224.3 Conjunctiva 224.4 Cornea 224.5 Retina Excludes: hemangioma of retina (228.03) 224.6 Choroid 224.7 Lacrimal duct Lacrimal sac Nasolacrimal duct 224.8 Other specified parts of eye 224.9 Eye, part unspecified 225 Benign neoplasm of brain and other parts of nervous system Excludes: hemangioma (228.02) neurofibromatosis (237.7) peripheral, sympathetic, and parasympathetic nerves and ganglia (215.0-215.9) retrobulbar (224.1) 225.0 Brain 225.1 Cranial nerves 225.2 Cerebral meninges Meninges NOS Meningioma (cerebral) 225.3 Spinal cord Cauda equina 225.4 Spinal meninges Spinal meningioma 225.8 Other specified sites of nervous system 225.9 Nervous system, part unspecified Nervous system (central) NOS Excludes: meninges NOS (225.2) 226 Benign neoplasm of thyroid glands Use additional code to identify any functional activity 227 Benign neoplasm of other endocrine glands and related structures Use additional code to identify any functional activity Excludes: ovary (220) pancreas (211.6) testis (222.0) 227.0 Adrenal gland Suprarenal gland 227.1 Parathyroid gland 227.3 Pituitary gland and craniopharyngeal duct (pouch) Craniobuccal pouch Hypophysis Rathke's pouch Sella turcica 227.4 Pineal gland Pineal body 227.5 Carotid body 227.6 Aortic body and other paraganglia Coccygeal body Glomus jugulare Para-aortic body 227.8 Other 227.9 Endocrine gland, site unspecified 228 Hemangioma and lymphangioma, any site Includes: angioma (benign) (cavernous) (congenital) NOS cavernous nevus glomus tumor hemangioma (benign) (congenital) Excludes: benign neoplasm of spleen, except hemangioma and lymphangioma (211.9) glomus jugulare (227.6) nevus: NOS (216.0-216.9) blue or pigmented (216.0-216.9) vascular (757.32) 228.0 Hemangioma, any site 228.00 Of unspecified site 228.01 Of skin and subcutaneous tissue 228.02 Of intracranial structures 228.03 Of retina 228.04 Of intra-abdominal structures Peritoneum Retroperitoneal tissue 228.09 Of other sites Systemic angiomatosis 228.1 Lymphangioma, any site Congenital lymphangioma Lymphatic nevus 229 Benign neoplasm of other and unspecified sites 229.0 Lymph nodes Excludes: lymphangioma (228.1) 229.8 Other specified sites Intrathoracic NOS Thoracic NOS 229.9 Site unspecified CARCINOMA IN SITU (230-234) Includes: Bowen's disease erythroplasia Queyrat's erythroplasia Excludes: leukoplakiasee Alphabetic Index 230 Carcinoma in situ of digestive organs 230.0 Lip, oral cavity, and pharynx Gingiva Hypopharynx Mouth [any part] Nasopharynx Oropharynx Salivary gland or duct Tongue Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (231.0) epiglottis: NOS (231.0) suprahyoid portion (231.0) skin of lip (232.0) 230.1 Esophagus 230.2 Stomach Body of stomach Cardia of stomach Fundus of stomach Cardiac orifice Pylorus 230.3 Colon Appendix Cecum Ileocecal valve Large intestine NOS Excludes: rectosigmoid junction (230.4) 230.4 Rectum Rectosigmoid junction 230.5 Anal canal Anal sphincter 230.6 Anus, unspecified Excludes: anus: margin (232.5) skin (232.5) perianal skin (232.5) 230.7 Other and unspecified parts of intestine Duodenum Ileum Jejunum Small intestine NOS Excludes: ampulla of Vater (230.8) 230.8 Liver and biliary system Ampulla of Vater Common bile duct Cystic duct Gallbladder Hepatic duct Sphincter of Oddi 230.9 Other and unspecified digestive organs Digestive organ NOS Gastrointestinal tract NOS Pancreas Spleen 231 Carcinoma in situ of respiratory system 231.0 Larynx Cartilage: arytenoid cricoid cuneiform thyroid Epiglottis: NOS posterior surface suprahyoid portion Vocal cords (false) (true) Excludes: aryepiglottic fold or interarytenoid fold: NOS (230.0) hypopharyngeal aspect (230.0) marginal zone (230.0) 231.1 Trachea 231.2 Bronchus and lung Carina Hilus of lung 231.8 Other specified parts of respiratory system Accessory sinuses Middle ear Nasal cavities Pleura Excludes: ear (external) (skin) (232.2) nose NOS (234.8) skin (232.3) 231.9 Respiratory system, part unspecified Respiratory organ NOS 232 Carcinoma in situ of skin Includes: pigment cells 232.0 Skin of lip Excludes: vermilion border of lip (230.0) 232.1 Eyelid, including canthus 232.2 Ear and external auditory canal 232.3 Skin of other and unspecified parts of face 232.4 Scalp and skin of neck 232.5 Skin of trunk, except scrotum Anus, margin Axillary fold Perianal skin Skin of: abdominal wall anus back breast buttock chest wall groin perineum Umbilicus Excludes: anal canal (230.5) anus NOS (230.6) skin of genital organs (233.30-233.39, 233.5-233.6) 232.6 Skin of upper limb, including shoulder 232.7 Skin of lower limb, including hip 232.8 Other specified sites of skin 232.9 Skin, site unspecified 233 Carcinoma in situ of breast and genitourinary system 233.0 Breast Excludes: Paget's disease (174.0-174.9) skin of breast (232.5) 233.1 Cervix uteri Adenocarcinoma in situ of cervix Cervical intraepithelial glandular neoplasia Cervical intraepithelial neoplasia III [CIN III] Severe dysplasia of cervix Excludes: cervical intraepithelial neoplasia II [CIN II] (622.12) cytologic evidence of malignancy without histologic confirmation (795.06) high grade squamous intraepithelial lesion (HGSIL) (795.04) moderate dysplasia of cervix (622.12) 233.2 Other and unspecified parts of uterus 233.3 Other and unspecified female genital organs 233.30 Unspecified female genital organ 233.31 Vagina Severe dysplasia of vagina Vaginal intraepithelial neoplasia [VAIN III] 233.32 Vulva Severe dysplasia of vulva Vulvar intraepithelial neoplasia [VIN III] 233.39 Other female genital organ 233.4 Prostate 233.5 Penis 233.6 Other and unspecified male genital organs 233.7 Bladder 233.9 Other and unspecified urinary organs 234 Carcinoma in situ of other and unspecified sites 234.0 Eye Excludes: cartilage of eyelid (234.8) eyelid (skin) (232.1) optic nerve (234.8) orbital bone (234.8) 234.8 Other specified sites Endocrine gland [any] 234.9 Site unspecified Carcinoma in situ NOS NEOPLASMS OF UNCERTAIN BEHAVIOR (235-238) Note: Categories 235-238 classify by site certain histo-morphologically well-defined neoplasms, the subsequent behavior of which cannot be predicted from the present appearance. 235 Neoplasm of uncertain behavior of digestive and respiratory systems Excludes: stromal tumors of uncertain behavior of digestive system (238.1) 235.0 Major salivary glands Gland: parotid sublingual submandibular Excludes: minor salivary glands (235.1) 235.1 Lip, oral cavity, and pharynx Gingiva Hypopharynx Minor salivary glands Mouth Nasopharynx Oropharynx Tongue Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (235.6) epiglottis: NOS (235.6) suprahyoid portion (235.6) skin of lip (238.2) 235.2 Stomach, intestines, and rectum 235.3 Liver and biliary passages Ampulla of Vater Bile ducts [any] Gallbladder Liver 235.4 Retroperitoneum and peritoneum 235.5 Other and unspecified digestive organs Anal: canal sphincter Anus NOS Esophagus Pancreas Spleen Excludes: anus: margin (238.2) skin (238.2) perianal skin (238.2) 235.6 Larynx Excludes: aryepiglottic fold or interarytenoid fold: NOS (235.1) hypopharyngeal aspect (235.1) marginal zone (235.1) 235.7 Trachea, bronchus, and lung 235.8 Pleura, thymus, and mediastinum 235.9 Other and unspecified respiratory organs Accessory sinuses Middle ear Nasal cavities Respiratory organ NOS Excludes: ear (external) (skin) (238.2) nose (238.8) skin (238.2) 236 Neoplasm of uncertain behavior of genitourinary organs 236.0 Uterus 236.1 Placenta Chorioadenoma (destruens) Invasive mole Malignant hydatid(iform) mole 236.2 Ovary Use additional code to identify any functional activity 236.3 Other and unspecified female genital organs 236.4 Testis Use additional code to identify any functional activity 236.5 Prostate 236.6 Other and unspecified male genital organs 236.7 Bladder 236.9 Other and unspecified urinary organs 236.90 Urinary organ, unspecified 236.91 Kidney and ureter 236.99 Other 237 Neoplasm of uncertain behavior of endocrine glands and nervous system 237.0 Pituitary gland and craniopharyngeal duct Use additional code to identify any functional activity 237.1 Pineal gland 237.2 Adrenal gland Suprarenal gland Use additional code to identify any functional activity 237.3 Paraganglia Aortic body Carotid body Coccygeal body Glomus jugulare 237.4 Other and unspecified endocrine glands Parathyroid gland Thyroid gland 237.5 Brain and spinal cord 237.6 Meninges Meninges: NOS cerebral spinal 237.7 Neurofibromatosis von Recklinghausen's disease 237.70 Neurofibromatosis, unspecified 237.71 Neurofibromatosis, type 1 [von Recklinghausen's disease] 237.72 Neurofibromatosis, type 2 [acoustic neurofibromatosis] 237.9 Other and unspecified parts of nervous system Cranial nerves Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (238.1) 238 Neoplasm of uncertain behavior of other and unspecified sites and tissues 238.0 Bone and articular cartilage Excludes: cartilage: ear (238.1) eyelid (238.1) larynx (235.6) nose (235.9) synovia (238.1) 238.1 Connective and other soft tissue Peripheral, sympathetic, and parasympathetic nerves and ganglia Stromal tumors of digestive system Excludes: cartilage (of): articular (238.0) larynx (235.6) nose (235.9) connective tissue of breast (238.3) 238.2 Skin Excludes: anus NOS (235.5) skin of genital organs (236.3, 236.6) vermilion border of lip (235.1) 238.3 Breast Excludes: skin of breast (238.2) 238.4 Polycythemia vera 238.5 Histiocytic and mast cells Mast cell tumor NOS Mastocytoma NOS 238.6 Plasma cells Plasmacytoma NOS Solitary myeloma 238.7 Other lymphatic and hematopoietic tissues Excludes: acute myelogenous leukemia (205.0) chronic myelomonocytic leukemia (205.1) myelofibrosis (289.83) myelosclerosis NOS (289.89) myelosis: NOS (205.9) megakaryocytic (207.2) 238.71 Essential thrombocythemia Essential hemorrhagic thrombocythemia Essential thrombocytosis Idiopathic (hemorrhagic) thrombocythemia Primary thrombocytosis 238.72 Low grade myelodysplastic syndrome lesions Refractory anemia (RA) Refractory anemia with ringed sideroblasts (RARS) Refractory cytopenia with multilineage dysplasia (RCMD) Refractory cytopenia with multilineage dysplasia and ringed sideroblasts (RCMD-RS) 238.73 High grade myelodysplastic syndrome lesions Refractory anemia with excess blasts-1 (RAEB-1) Refractory anemia with excess blasts-2 (RAEB-2) 238.74 Myelodysplastic syndrome with 5q deletion 5q minus syndrome NOS Excludes: constitutional 5q deletion (758.39) high grade myelodysplastic syndrome with 5q deletion (238.73) 238.75 Myelodysplastic syndrome, unspecified 238.76 Myelofibrosis with myeloid metaplasia Agnogenic myeloid metaplasia Idiopathic myelofibrosis (chronic) Myelosclerosis with myeloid metaplasia Primary myelofibrosis Excludes: myelofibrosis NOS (289.83) myelophthisic anemia (284.2) myelophthisis (284.2) secondary myelofibrosis (289.83) 238.79 Other lymphatic and hematopoietic tissues Lymphoproliferative disease (chronic) NOS Megakaryocytic myelosclerosis Myeloproliferative disease (chronic) NOS Panmyelosis (acute) 238.8 Other specified sites Eye Heart Excludes: eyelid (skin) (238.2) cartilage (238.1) 238.9 Site unspecified NEOPLASMS OF UNSPECIFIED NATURE (239) 239 Neoplasms of unspecified nature Note: Category 239 classifies by site neoplasms of unspecified morphology and behavior. The term "mass," unless otherwise stated, is not to be regarded as a neoplastic growth. Includes: "growth" NOS neoplasm NOS new growth NOS tumor NOS 239.0 Digestive system Excludes: anus: margin (239.2) skin (239.2) perianal skin (239.2) 239.1 Respiratory system 239.2 Bone, soft tissue, and skin Excludes: anal canal (239.0) anus NOS (239.0) bone marrow (202.9) cartilage: larynx (239.1) nose (239.1) connective tissue of breast (239.3) skin of genital organs (239.5) vermilion border of lip (239.0) 239.3 Breast Excludes: skin of breast (239.2) 239.4 Bladder 239.5 Other genitourinary organs 239.6 Brain Excludes: cerebral meninges (239.7) cranial nerves (239.7) 239.7 Endocrine glands and other parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (239.2) 239.8 Other specified sites Excludes: eyelid (skin) (239.2) cartilage (239.2) great vessels (239.2) optic nerve (239.7) 239.9 Site unspecified |
![]() |
![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() ![]() TABLE OF CONTENTS Preface Acknowledgments Introduction The ICD-9-CM Coordination and Maintenance Committee Characteristics of the ICD-9-CM The Disease Classification Alphabetical Index of Diseases Table of Drugs and Chemicals Index To External Causes of Injury (E Code) Classification of Procedures Index to Procedures Appendix A: Morphology of Neoplasms Appendix C: Classification of Drugs by American Hospital Formulary Services List Number and their ICD-9-CM Equivalents Appendix D: Classification of Industrial Accidents According to Agency Appendix E: List of Three-Digit Categories |