Neoplasms (C00-D49)

Note:
Functional activity
All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
Morphology [Histology]
Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
Primary malignant neoplasms overlapping site boundaries
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
Malignant neoplasm of ectopic tissue
Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Malignant neoplasms of lymphoid, hematopoietic and related tissue (C81-C96)

Excludes 2:
Kaposi's sarcoma of lymph nodes (C46.3)
secondary and unspecified neoplasm of lymph nodes (C77.-)
secondary neoplasm of bone marrow (C79.52)
secondary neoplasm of spleen (C78.89)
C81 Hodgkin lymphoma [+]
Excludes 1: personal history of Hodgkin lymphoma (Z85.71)
C82 Follicular lymphoma [+]
Includes: follicular lymphoma with or without diffuse areas
Excludes 1: mature T/NK-cell lymphomas (C84.-)
personal history of non-Hodgkin lymphoma (Z85.72)
C83 Non-follicular lymphoma [+]
Excludes 1: personal history of non-Hodgkin lymphoma (Z85.72)
C84 Mature T/NK-cell lymphomas [+]
Excludes 1: personal history of non-Hodgkin lymphoma (Z85.72)
C85 Other specified and unspecified types of non-Hodgkin lymphoma [+]
Excludes 1: other specified types of T/NK-cell lymphoma (C86.-)
personal history of non-Hodgkin lymphoma (Z85.72)
C86 Other specified types of T/NK-cell lymphoma [+]
Excludes 1: anaplastic large cell lymphoma, ALK negative (C84.7-)
anaplastic large cell lymphoma, ALK positive (C84.6-)
mature T/NK-cell lymphomas (C84.-)
other specified types of non-Hodgkin lymphoma (C85.8-)
C88 Malignant immunoproliferative diseases and certain other B-cell lymphomas [+]
Excludes 1: B-cell lymphoma, unspecified (C85.1-)
personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)
C90 Multiple myeloma and malignant plasma cell neoplasms [+]
Excludes 1: personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)
C91 Lymphoid leukemia [+]
Excludes 1: personal history of leukemia (Z85.6)
C92 Myeloid leukemia [+]
Includes: granulocytic leukemia
myelogenous leukemia
Code also , if applicable, pancytopenia (acquired) (D61.818)
Excludes 1: personal history of leukemia (Z85.6)
C93 Monocytic leukemia [+]
Includes: monocytoid leukemia
Excludes 1: personal history of leukemia (Z85.6)
C94 Other leukemias of specified cell type [+]
Excludes 1: leukemic reticuloendotheliosis (C91.4-)
myelodysplastic syndromes (D46.-)
personal history of leukemia (Z85.6)
plasma cell leukemia (C90.1-)
C95 Leukemia of unspecified cell type [+]
Excludes 1: personal history of leukemia (Z85.6)
C96 Other and unspecified malignant neoplasms of lymphoid, hematopoietic and related tissue [+]
Excludes 1: personal history of other malignant neoplasms of lymphoid, hematopoietic and related tissues (Z85.79)

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