1
© Copyright 2015; Revised 9/24/15
MALIGNANT NEOPLASMS OF HEAD, NECK, LIP, ORAL CAVITY & PHARYNX
DOCUMENTING ALCOHOL/TOBACCO USE If applicable, use addi onal code to iden fy ‐ alcohol abuse and dependence ‐ Exposure to environmental tobacco smoke ‐ Exposure to tobacco smoke in perinatal period ‐ History of tobacco ‐ Occupa onal exposure to environmental tobacco smoke ‐ Tobacco dependence ‐ Tobacco use
Malignant Neoplasm of
BASE OF TONGUE C01 * Document alcohol/tobacco use
Malignant Neoplasm of
PARODID GLAND C07 * Document alcohol/tobacco use
Malignant Neoplasm of
LIP 0 ‐ External upper lip 1 ‐ External lower lip 2 ‐ External lip, unspecified 3 ‐ Upper lip, inner aspect 4 ‐ Lower lip, inner aspect 5 ‐ Lip, unspecified, inner aspect 6 ‐ Commissure of lip, unspecified 8 ‐ Overlapping sites of lip 9 ‐ Unspecified
* Document alcohol/ tobacco use
C00.
C02. Malignant Neoplasm of
OTHER & UNSPECIFIED PARTS OF TONGUE 0 ‐ Dorsal surface 1 ‐ Border 2 ‐ Ventral surface 3 ‐ Anterior two‐thirds of tongue, part unspecified 4 ‐ Lingual tonsil 8 ‐ Overlapping sites of tongue 9 ‐ Unspecified
* Document alcohol/tobacco use
Malignant Neoplasm of
GUM 0 ‐ Upper gum 1 ‐ Lower gum 9 ‐ Unspecified
* Document alcohol/tobacco use
C03.
Malignant Neoplasm of
FLOOR OF MOUTH 0 ‐ Anterior 1 ‐ Lateral 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document alcohol/ tobacco use
C04.
Malignant Neoplasm of
PALATE 0 ‐ Hard palate 1 ‐ So palate 2 ‐ Uvula 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document alcohol/tobacco use
C05.
* Document alcohol/tobacco use
C08. Malignant Neoplasm of
OTHER & UNSPECIFIED MAJOR SALIVARY GLANDS 0 ‐ Submandibular gland 1 ‐ Sublingual gland 9 ‐ Unspecified
Malignant Neoplasm of
TONSIL 0 ‐ Fossa 1 ‐ Pillar (anterior & posterior) 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document alcohol/tobacco use
C09.
Malignant Neoplasm of
OROPHARYNX 0 ‐ Vallecula 1 ‐ Anterior surface of epiglo s 2 ‐ Lateral wall of oropharynx 3 ‐ Posterior wall of oropharynx 4 ‐ Branchial cle 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document alcohol/tobacco use
C10.
2
© Copyright 2015; Revised 9/24/15
MALIGNANT NEOPLASMS OF LUNG ‐ RESPIRATORY & INTRATHORACIC ORGANS
Malignant Neoplasm of
THYMUS C37
Malignant Neoplasm of
PYRIFORM SINUS C12 * Document tobacco use
Malignant Neoplasm of
TRACHEA C33
* Document alcohol/tobacco use
Malignant Neoplasm of
NASOPHARYNX 0 ‐ Superior wall 1 ‐ Posterior wall 2 ‐ Lateral wall 3 ‐ Anterior wall 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document tobacco use
C11.
Malignant Neoplasm of
HYPOPHARYNX 0 ‐ Postcricoid region 1 ‐ Aryepiglo c fold, hypopharyngeal aspect 2 ‐ Posterior wall 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document tobacco use
C13.
Malignant Neoplasm of
NASAL CAVITY & MIDDLE EAR 0 ‐ Nasal cavity 1 ‐ Middle ear
C30.
Malignant Neoplasm of
ACCESSORY SINUSES 0 ‐ Maxillary sinus 1 ‐ Ethmoidal sinus 2 ‐ Frontal sinus 3 ‐ Sphenoid sinus 8 ‐ Overlapping sites 9 ‐ Unspecified
C31.
Malignant Neoplasm of
LARYNX 0 ‐ Glo s 1 ‐ Supraglo s 2 ‐ Subglo s 3 ‐ Laryngeal car lage 8 ‐ Overlapping sites 9 ‐ Unspecified
* Document alcohol/tobacco use
C32.
Malignant Neoplasm of
HEART, MEDIASTINUM & PLEURA 0 ‐ Heart 1 ‐ Anterior medias num 2 ‐ Posterior medias num 3 ‐ Medias num, part unspecified 4 ‐ Pleura 8 ‐ Overlapping sites of heart, medias num and pleura
C38.
DOCUMENTING ALCOHOL/TOBACCO USE If applicable, use addi onal code to iden fy ‐ alcohol abuse and dependence ‐ Exposure to environmental tobacco smoke ‐ Exposure to tobacco smoke in perinatal period ‐ History of tobacco ‐ Occupa onal exposure to environmental tobacco smoke ‐ Tobacco dependence ‐ Tobacco use
0 ‐ Unspecified 1 ‐ Right 2 ‐ Le
2 ‐ Middle lobe, bronchus or lung
Malignant Neoplasm of
BRONCHUS & LUNG 0 ‐ Main bronchus 1– Upper lobe, bronchus or lung 3 –Lower lobe, bronchus or lung 8 ‐ Overlapping sites of bronchus & lung 9 –Unspecified part of bronchus or lung
STOP
* Document tobacco use
C34.
Excludes Carcinoid & Kaposi’s
3
© Copyright 2015; Revised 9/24/15
METASTATIC DISEASE
Secondary Malignant Neoplasm of
OTHER & UNSPECIFIED SITES
0 ‐ Unspecified urinary organs 1 ‐ Bladder 9 ‐ Other urinary organs
1‐ Bladder and other and unspecified urinary organs
0 ‐ Kidney & Renal Pelvis 6 ‐ Ovary 7 ‐ Adrenal gland
2 ‐ Skin 9 ‐ Unspecified
1 ‐ Breast 2 ‐ Genital organs 9 ‐ Other
0 ‐ Unspecified 1 ‐ Right 2 ‐ Le
3– Brain and cerebral meninges
4– Other & unspecified parts of nervous system
0 ‐ Unspecified 9 ‐ Other
5– Bone and bone marrow 1 ‐ Bone 2 ‐Bone marrow
8– Other specified sites
STOP
C79.
1 –Brain 2– Cerebral meninges
Malignant Neoplasm of
OTHER & ILL‐DEFINED SITES
0 ‐ Unspecified 1 ‐ Right 2 ‐ Le
0 ‐ Head, face & neck 1‐ Thorax 2 ‐ Abdomen 3 ‐ Pelvis 8 ‐Other specified ill‐defined sites
4 ‐ Upper limb 5‐ Lower limb
STOP
C76.
Malignant Neoplasm of
MESOTHELIOMA 0 ‐ Pleura 1 ‐ Peritoneum 2 ‐ Pericardium 7 ‐ Other sites 9 ‐ Unspecified
C45. Malignant Neoplasm of
THYROID GLAND C73
Secondary Malignant Neoplasm of
RESPIRATORY & DIGESTIVE ORGANS
0 ‐ Unspecified 1 ‐ Right 2 ‐ Le
1‐ Medias num 2 ‐ Pluera 4 ‐ Small intes ne 5 ‐ Large Intes ne & rectum 6 ‐ Retroperitoneum and peritoneum 7 ‐Liver and intrahepa c bile duct
0 ‐ Lung
STOP
3 ‐ Other/unspecified respiratory organs 8 ‐ Other/unspecified diges ve organs
0 ‐ Unspecified 9 ‐ Other
C78.
Secondary & Unspecified Malignant Neoplasm of
LYMPH NODES 0 ‐ Head, face, & neck 1‐ Intrathoracic 2 ‐ Intra‐abdominal 3 ‐ Axilla and upper limb 4 ‐ Inguinal and lower limb 5 ‐ Intrapelvic 8 ‐ Lymph nodes of mul ple regions 9 ‐ Unspecified
C77.
4
© Copyright 2015; Revised 9/24/15
SECONDARY & UNSPECIFIED SITES
ACUTE EMBOLISM & THROMBOSIS OF DEEP VEINS OF LOWER EXTREMITY 0 ‐ Unspecified deep veins/ lower extremity 1 ‐ Femoral vein 2 ‐ Iliac vein 3 ‐ Popliteal vein 4 ‐ Tibial vein 9 ‐ Other specified Y ‐ Proximal lower extremity Z ‐ Distal lower extremity
1 ‐ Right 2 ‐ Le 3 ‐ Bilateral 9 ‐ Unspecified
I82.4 PULMONARY EMBOLISM W/O ACUTE COR PULMONALE 0 ‐ Sep c pulmonary embolism 2 ‐ Saddle embolus of pulmonary artery 9 ‐ Other
I26.9
THROMBOTIC CONDITIONS
5
© Copyright 2015; Revised 9/24/15
DRUG-INDUCED PHENOMENON
D70.1 AGRANULOCYTOSIS SECONDARY TO CANCER CHEMOTHERAPY
OTHER SECONDARY THROMBOCYTOPENIA
D69.59
* Due to drugs, EtOH, alloimmunization; NOT ITP
DRUG (OPIATE) INDUCED CONSTIPATION
K59.09
ANEMIA DUE TO ANTINEOPLASTIC CHEMOTHERAPY
D64.81
DRUG-INDUCED CUSHING'S SYNDROME
E24.2 DRUG-INDUCED ADRENOCORTICAL INSUFFICIENCY
E27.3
STOP 0 - With cholestasis 2 - With acute hepatitis
TOXIC LIVER DISEASE
0 - Without coma 1 -With coma
1 - With hepatic necrosis
This is for toxic effects due to drug; Does Not include ETOH
K71.
0 - Drug-induced 1 - Alcoholic 2 - Due to other toxic agents 9 - Unspecified (as used for AIDS)
Other & Unspecified POLYNEUROPATHIES
1 -Critical illness 2 - Radiation-induced 9 - Other
8 - Other specified
STOP
G62.
ORAL MUCOSITIS, ULCERATIVE
0 -Unspecified 1 - Due to antineoplastic therapy 2 - Due to other drugs 3 - Due to radiation 9 - Other
K12.3
POLYNEUROPATHY IN DISEASES CLASSIFIED ELSEWHERE (Includes myeloma induced neuropathy)
G63
DRUG-INDUCED PHENOMENON
DRUG (OPIATE) INDUCED CONSTIPATION
K59.09
AGRANULOCYTOSIS DUE TO NON-CHEMOTHERAPY DRUG
D70.2