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