2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 2
ICDMENU


 
 
    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
 
      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
 
      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
                     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 organs­code 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
 
          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
 
          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
(233.3)
 
      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
      Sipple's syndrome
      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
          Carcino