SCCA REFERENCE MANUAL ICD-10
SCCA REFERENCE MANUAL
ICD-10
PART 1: ONCOLOGY
? Copyright 2015 Revised MAY 2015
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TABLE OF CONTENTS
HEMATOLOGY ONCOLOGY
LEUKEMIA/MDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 LYMPHOMA & MYELOMA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
GI/PANCREAS
MALIGNANT NEOPLASMS OF DIGESTIVE ORGANS . . . . . . . . . 9
THORACIC, HEAD, & NECK
MALIGNANT NEOPLASMS OF HEAD, NECK, LIP, ORAL CAVITY & PHARYNX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 MALIGNANT NEOPLASMS OF LUNG - RESPIRATORY & INTRATHORACIC ORGANS . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
WOMEN'S CENTER
MALIGNANT NEOPLASMS OF THE BREAST . . . . . . . . . . . . . . . . 15 MALIGNANT NEOPLASMS OF FEMALE GENITAL ORGANS . . . . 15
GU/PROSTATE
MALIGNANT NEOPLASMS OF URINARY TRACT . . . . . . . . . . . . . 17 MALIGNANT NEOPLASMS OF MALE GENITAL ORGANS . . . . . . 17
SARCOMA AND ORTHOPEDICS
MALIGNANT NEOPLASMS OF MESOTHELIOMA & SOFT TISSUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 MALIGNANT NEOPLASMS OF PERIPHERAL NERVES & AUTONOMIC NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . . . . . . 19 MALIGNANT NEOPLASMS OF BONE & ARTICULAR CARTILAGE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
MELANOMA/SKIN
MELANOMA & OTHER MALIGNANT NEOPLASM OF SKIN . . . 22
NEURO-ONCOLOGY
MALIGNANT NEOPLASMS OF EYE, BRAIN & OTHER PARTS OF CENTRAL NERVOUS SYSTEM . . . . . . . . . . . . . . . . . . 24
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TABLE OF CONTENTS
ENDOCRINE
MALIGNANT NEOPLASMS OF THYROID & OTHER ENDOCRINE GLANDS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
METASTATIC SECONDARY SITES
MALIGNANT NEOPLASMS OF OTHER & ILL-DEFINED SITES . . 28 MALIGNANT NEOPLASMS OF OTHER SECONDARY & UNCERTAIN OR UNSPECIFIED NEOPLASMS . . . . . . . . . . . . . . . 29 MALIGNANT NEUROENDOCRINE TUMORS . . . . . . . . . . . . . . . 29
HEMATOLOGY
MYELOPROLIF/MGUs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 NUTRITIONAL ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 HEMOLYTIC ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 THALASSEMIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 SICKLE CELL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32 APLASTIC ANEMIA & BONE MARROW FAILURE . . . . . . . . . . . 33 SECONDARY & OTHER ANEMIAS . . . . . . . . . . . . . . . . . . . . . . . . 34 COAGULATION DEFECTS & OTHER EMORRHAGIC . .. . . . . . . . 34 IMMUNE THROMBOCYTOPENIC & OTHERS . . . . . . . . . . . . . . . 34 THROMBOTIC CONDITIONS . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 NEUTROPENIA & OTHER WBC DISORDERS . . . . . . . . . . . . . . . 36 MYELOFIBROSIS, FAMILIAL ERTHROCYTOSIS & SECONDARY POLYCYTHEMIA . . . . . . . . . . . . . . . . . . . . . . . . . . . 36 COMBINED IMMUNODEFICIENCIES . . . . . . . . . . . . . . . . . . . . . 37 SARCOIDOSIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 GVHD & CRYOGLOBULINEMIA . . . . . . . . . . . . . . . . . . . . . . . . . 38 PORPHYRIA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
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HEMATOLOGY ONCOLOGY
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LEUKEMIA/MDS
Leukemia,
LYMPHOID
0 - Acute lymphoblastic leukemia 1- Chronic lymphocytic leukemia of
B-cell type 3 - Prolymphocytic leukemia of B-cell type 4 - Hairy cell leukemia 5 - Adult T-cell lymphoma/leukemia
(HTLV-1-associated) 6 - Prolymphocytic leukemia of T-cell type A - Mature B-cell leukemia Burkitt-type Z - Other lymphoid leukemia 9 - Unspecified
C91.
0 - Not having achieved remission
1 - In remission 2 - In relapse
Leukemia,
MYELOID
0 - Acute myeloblastic leukemia 1 - Chronic myeloid leukemia, BCR/ABL-
positive 2 - Atypical chronic myeloid leukemia,
BCR/ABL-negative 3 - Myeloid sarcoma 4 - Acute promyelocytic leukemia 5 - Acute myelomonocytic leukemia 6 -Acute myeloid leukemia with 11q23-
abnormality A - Acute myeloid leukemia with
multilineage dysplasia Z - Other myeloid leukemia 9 - Unspecified
C92.
0 -Not having achieved remission
1 - In remission 2 - In relapse
Leukemia,
MONOCYTIC
0 - Acute monoblastic/monocytic leukemia
1 - Chronic myelomonocytic leukemia 3 - Juvenile myelomonocytic leukemia Z - Other monocytic leukemia 9 - Unspecified
C93.
0 - Not having achieved remission
1- In remission 2? In relapse
T45.1X Poisoning by Adverse Effect of
& Underdosing of,
ANTINEOPLASTIC & IMMUNOSUPPRESSIVE DRUGS
1- Poisoning by antineoplastic and immunosuppressive drugs, accidental (unintentional)
5- Adverse effect of antineoplastic & immunosuppressive drugs
A - initial encounter D - subsequent encounter
S - sequela
Other Leukemias of
SPECIFIED CELL TYPE
C94.
0 - Acute erythroid leukemia 2 - Acute megakaryoblastic leukemia 3 - Mast cell leukemia 4 - Acute panmyelosis with myelofibrosis 8 - Other specified leukemias
0 - Not having achieved remission
1 - In remission 2 - In relapse
6 - Myelodysplastic disease, not classified
STOP
Leukemia of
UNSPECIFIED CELL TYPE
0 - Acute 1 - Chronic 9 - Unspecified
C95.
0 - Not having achieved remission
1- In remission 2? In relapse
Unspecified Malignant Neoplasms of
LYMPHOID, HEMATO
C96.
POIETIC & RELATED TISSUE
0 - Multifocal and multisystemic (disseminated) Langerhans-cell histiocytosis
2 - Malignant mast cell tumor 4 - Sarcoma of dendritic cells (accessory cells) 5 - Multifocal and unisystemic Langerhans-cell
histiocytosis 6 - Unifocal Langerhans-cell histiocytosis A - Histiocytic sarcoma Z - Other specified 9 - Unspecified
MYELODYSPLASTIC D46. SYNDROME (MDS)
0 - Refractory anemia without ring sideroblasts, so stated
1 - Refractory anemia with ring sideroblasts
A - Refractory cytopenia with multilineage dysplasia
B - Refractory cytopenia with multilineage dysplasia and
ring sideroblasts
C - Myelodysplastic syndrome with isolated del(5q)
STOP
chromosomal abnormality
4 - Refractory anemia, unspecified
Z - Other myelodysplastic syndromes
9 - Unspecified
2 - Refractory anemia with excess of blasts
0 - Not having achieved remission 1- 1 2? 2
Use T45.1X code for adverse effect, if applicable
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B-CELL LYMPHOMA
Lymphoma,
HODGKIN
0 - Nodular lymphocyte predominant
1 - Nodular sclerosis classical 2 - Mixed cellularity classical 3 - Lymphocyte-depleted
classical 4 - Lymphocyte-rich classical 7 - Other classical 9 - Unspecified
C81.
0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site
Lymphoma,
OTHER NON-HODGKIN
1 - Unspecified B-cell lymphoma 2 - Mediastinal (thymic) large
B-cell 8 - Other specified types of
non-Hodgkin's 9 - Unspecified
C85.
0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site
Lymphoma,
FOLLICULAR
0 - Grade I 1 - Grade II 2 - Grade III unspecified 3 - Grade IIIa 4 - Grade IIIb 5 - Diffuse follicle center
lymphoma 6 - Cutaneous follicle center
lymphoma 8 - Other types lymphoma 9 - Unspecified
C82.
0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site
Lymphomas,
MALIGNANT
C88.
IMMUNOPROLIFERATIVE
& OTHER B-CELLS
0 - Waldenstrom macroglobulinemia 2 - Heavy chain disease 3 - Immunoproliferative small intestinal disease 4 - Extranodal marginal zone B-cell lymphoma of mucosa-
associated lymphoid tissue [MALT-lymphoma] 8 - Other malignant immunoproliferative diseases 9 - Unspecified.
Lymphoma,
NON-FOLLICULAR
C83.
0 - Small cell B-cell Lymphoma 1 - Mantle cell Lymphoma 3 - Diffuse Large B-cell
lymphoma 5 - Lymphoblastic (diffuse
lymphoma) 7 - Burkitt lymphoma 8 - Other non-follicular
Lymphoma (includes PEL/ intravascular) 9 - Unspecified
0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site
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T-CELL LYMPHOMA
LYMPHOMA,
MATURE T/NK CELL
C84.
0 - Mycosis Fungoides 1 - Sezary Disease 4 - Peripheral T-cell, not
classified 6 - Anaplastic Large cell
AKL-positive 7 - Anaplastic Large cell
AKL-negative A - Cutaneous T-cell, unspecified Z- Other 9 - Unspecified
0 - Unspecified site 1 - Head, neck, face 2 - Intrathoracic 3 - Intra-abdominal 4 - Axilla and upper limb 5 - Inguinal region and lower limb 6 -Intrapelvic 7 -Spleen 8 - Multiple-sites 9 - Extranodal and solid organ site
Lymphoma, Other
SPECIFIED T/NK-CELL
C86.
0 - Extranodal NK/T-cell lymphoma, nasal type 1 - Hepatosplenic T-cell lymphoma 2 - Enteropathy-type (intestinal) T-cell lymphoma 3 - Subcutaneous panniculitis-like-T-cell lymphoma 4 - Blastic NK-cell lymphoma 5 - Angiommunoblastic T-cell lymphoma 6 - Primary cutaneous CD-30-positive T-cell proliferations
MYELOMA
Multiple Myeloma & Malignant
PLASMA CELL NEOPLASM
C90.
0 - Multiple Myeloma 1 - Plasma cell leukemia 2 - Extramedullary plasmacytoma 3 - Solitary plasmacytoma
0 - Not having achieved remission 1 - In remission 2 ? In relapse
HEME NEOPLASMS UNCERTAIN
Neoplasms of Uncertain Behavior of
LYMPHOID, HEMA-
D47.
TOPOIETIC & RELATED TISSUE
0 - Histiocytic and mast cell tumors of uncertain behavior
1 - Chronic myeloproliferative disease
2 - Monoclonal gammopathy 3 - Essential (hemorrhagic) thrombocythemia
STOP
4 - Osteomyelofibrosis
9 - Unspecified
Z - Other specified neoplasms
1- Post-transplant lymphoproliferative disorder (PTLD)
9 - Other specified neoplasms
For MYELOFIBROSIS, use D75.81
MYELOFIBROSIS
D75.81
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GI/PANCREAS
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