California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals

Appendix K: Codes for Casefinding

For Cases Diagnosed between January 1, 2013 and September 30, 2014

Screening List of OF ICD-9-CM Codes for Casefinding

Certain ICD-9-CM* codes used by medical records departments for discharge diagnoses identify cases of malignant neoplasms that are reportable to the California Cancer Registry.  Case finding procedures must include the review of medical records coded with the following numbers.  Newly reportable diseases are followed by the ICD-O-3 morphology and behavior code in parentheses.

Note:  Casefinding codes for borderline ovarian tumors  (235.0-236.6) are included in the Supplementary List #2.

Historical ICD-9-CM Codes:

 

The following information is taken directly from the SEER web site: http://seer.cancer.gov/tools/casefinding/case2013long.html.

 

Fiscal Year 2013 ICD-9-CM Casefinding List: Expanded Version

 

These tables are also available in a printable version (PDF): http://seer.cancer.gov/tools/casefinding/fy2013_casefindinglist_long.pdf.

2013 Comprehensive ICD-9-CM Casefinding Code List for Reportable Tumors (with equivalent ICD-10-CM codes**) (Effective Date: 1/1/2013)
Please refer to your standard setter(s) for specific reporting requirements before using the Casefinding List

 

ICD-9-CM Code*

ICD-10-CM Code**

Explanation of ICD-9-CM Code

140._ - 172._

174._ - 209.36

209.7_

C00._ - C43._

C45._ - C96._

Malignant neoplasms (excluding category 173) , stated or presumed to be primary (of specified sites), and certain specified histologies

173.00

173.09

C44.00

C44.09

Unspecified and other specified malignant neoplasm of skin of lip

173.10

173.19

C44.101

C44.191

Unspecified and other specified malignant neoplasm of eyelid, including canthus

173.20

173.29

C44.201

C44.291

Unspecified and other specified malignant neoplasm of ear and external auricular canal

173.30

173.39

C44.30

C44.39

Unspecified and other specified malignant neoplasm of skin of other and unspecified parts of face

173.40

173.49

C44.40

C44.49

Unspecified and other specified malignant neoplasm of scalp and skin of neck

173.50

173.59

C44.50_

C44.59_

Unspecified and other specified malignant neoplasm of skin of trunk, except scrotum

173.60

173.69

C44.601

C44.691

Unspecified and other specified malignant neoplasm of skin of upper limb, including shoulder

173.70

173.79

C44.701

C44.791

Unspecified and other specified malignant neoplasm of skin of lower limb, including hip

173.80

173.89

C44.80

C44.89

Unspecified and other specified malignant neoplasm of other specified sites of skin

173.90

173.99

C44.90

C44.99

Unspecified and other specified malignant neoplasm of skin, site unspecified

225.0 - 225.9

D32._ - D33._

Benign neoplasm of brain and spinal cord neoplasm

227.3

227.4

D35.2

D35.3

Benign neoplasm of pituitary gland, craniopharyngeal duct (pouch) and pineal gland

228.02

D18.02

Hemangioma; of intracranial structures

228.1

D18.1

Lymphangioma, any site
Note: Includes only lymphangioma of the brain, other parts of nervous system and endocrine gland

230.0 - 234.9

D00._ - D09._

Carcinoma in situ

237.0 - 237.1

D44.3 - D44.5

Neoplasm of uncertain behavior of endocrine glands and nervous system: pituitary gland, carniopharyngeal duct and pineal gland

237.5

237.6

237.9

D42._

D43.0_

Neoplasm of uncertain behavior of endocrine glands and nervous system: brain and spinal cord, meninges, endocrine glands and other and unspecified parts of nervous system

238.4

D45

Polycythemia vera

238.6

D47.Z9

Plasma cells

238.7_

D46._

D47._

Other lymphatic and hematopoietic diseases

239.6

239.7

D49.6

Neoplasms of unspecified nature, brain, endocrine glands and other parts of nervous system

273.3

C88.0

Macroglobulinemia (Waldenstrom’s macroglobulinemia)

277.89

C96.5

C96.6

Other specified disorders of metabolism
Reportable includes terms: Hand-Schuller-Christian disease; histiocytosis (acute)(chronic); histiocytosis X (chronic)

288.4

D76.1 - D76.3

Hemophagocytic syndrome (histiocytic syndromes)

289.6

D45

Familial polycythemia (synonym for polycythemia vera)

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The following codes are not reportable per se, but they should alert registrars to look for the first malignant neoplasm associated with these codes.

2013 Supplementary List #1 ICD-9-CM Codes That Should be Followed by or Associated with a Neoplasm Code (with Equivalent ICD-10-CM Codes)

 

ICD-9-CM Code*

ICD-10-CM Code**

Explanation of ICD-9-CM Code

258.0_

E31.22, E31.23

Polyglandular activity in multiple endocrine adenomatosis [MEN]
Note: Use additional codes to identify any malignancies and other conditions associated with the syndromes

284.2

D61.82

Myelophthisis
Note: Code first the underlying disorder, such as: malignant neoplasm of breast (174.0-174.9, 175.0-175.9)

285.22

D63.0

Anemia in neoplastic disease
Note: Assign also a code for the neoplasm causing the anemia

289.83

D75.81

Myelofibrosis (9961/3)
Note: Code first the underlying disorder, such as: malignant neoplasm of breast (174.0-174.9, 175.0-175.9)

331.7

G94

Cerebral degeneration in diseases classified elsewhere
Note: code first underlying disease, such as neoplastic disease (140.-239.9)

336.3

G99.2

Myelopathy in other diseases classified elsewhere
Note: Code first underlying disease as: myelopathy in neoplastic disease (140.0-239.9)

357.3

G13.0, G13.1

Polyneuropathy in malignant disease
Note: Code first underlying disease (140.0-208.9)

358.1

G73.3

Myasthenic syndromes in other diseases classified elsewhere
Note: code first underlying disease, such as neoplasm (C00-D49)

358.31

G73.1

Eaton-Lambert syndrome in neoplastic disease

511.81

J91.0

Malignant pleural effusion
Note: Code first malignant neoplasm, if known

512.82

J93.12

Secondary spontaneous pneumothorax
Note: Code first underlying condition such as: cancer metastatic to lung (197.0) or primary lung cancer (162.3-162.9)

731.1_

M90.6_

Osteitis deformans in diseases classified elsewhere
Note: Code first underlying malignant neoplasm of bone (170.0-170.9)

731.3

M89.70_

Major osseous defect
Note: Code first underlying malignancy, if known, such as:
Malignant neoplasm of bone (170.0-170.9)

789.51

R18.0

Malignant ascites
Note: Code first malignancy

V07.5_

Z79.81_

Prophylactic use of agents affecting estrogen receptors and estrogen levels
Note: code first, if applicable: malignant neoplasm of breast (174.0-174.9, 175.0-175.9)

V58.42

Z48.3

Aftercare following surgery for neoplasm
Note: Conditions classifiable to 140-239

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Note: Cases with these codes should be screened as registry time allows. These are neoplasm-related secondary conditions for which there should also be a primary diagnosis of a reportable neoplasm. Experience in the SEER registries has shown that using the supplementary list increases casefinding for benign brain and CNS, hematopoietic neoplasms, and other reportable diseases.

2013 Supplementary List #2 ICD-9-CM Code List to Screen for Cancer Registry Cases Not Identified by Other Codes (with equivalent ICD-10-CM codes)

 

ICD-9-CM Code*

ICD-10-CM Code**

Explanation of ICD-9-CM Code

042

B20

Acquired Immunodeficiency Syndrome (AIDS)
Note: Medical coders are instructed to add codes for AIDS-associated malignancies. Screen 042 for history of cancers that might not be coded

079.4

79.5_

B97.7

Human papillomavirus; Retrovirus (HTLV, types I, II and 2)

173.01

173.02

C44.01

C44.02

Basal and squamous cell carcinoma of skin of lip

173.11

173.12

C44.111

C44.121

Basal and squamous cell carcinoma of eyelid, including canthus

173.21

173.22

C44.211

C44.221

Basal and squamous cell carcinoma of ear and external auricular canal

173.31

173.32

C44.31_

C44.32_

Basal and squamous cell carcinoma of skin of other and unspecified parts of face

173.41

173.42

C44.41

C44.42

Basal and squamous cell carcinoma of scalp and skin of neck

173.51

173.52

C44.51_

C44.52_

Basal and squamous cell carcinoma of skin of trunk, except scrotum

173.61

173.62

C44.611

C44.621

Basal and squamous cell carcinoma of skin of upper limb, including shoulder

173.71

173.72

C44.711

C44.721

Basal and squamous cell carcinoma of skin of lower limb, including hip

173.81

173.82

C44.81

C44.82

Basal and squamous cell carcinoma of other specified sites of skin

173.91

173.92

C44.91

C44.92

Basal and squamous cell carcinoma of skin, site unspecified

209.40 - 209.69

D3Aa._

Benign carcinoid tumors

210.0 - 229.9

D10._ – D31._

D34

D35.0

D35.1

D35.5 – D35.9

D36._

Benign neoplasms (except for 225.0-225.9, 227.3, 227.4, 228.02, 228.1, which are listed in the Reportable list)
Note: Screen for incorrectly coded malignancies or reportable by agreement tumors

235.0 - 236.99

D37 ._ - D41._

Neoplasms of uncertain behavior
Note: Screen for incorrectly coded malignancies or reportable by agreement tumors

237.2 - 237.4

D44.1

D44.2

D44.6 - D44.9

Neoplasm of uncertain behavior of adrenal gland, paraganglia and other and unspecified endocrine glands
Note: screen for incorrectly coded malignancies or reportable by agreement tumors

237.7_

Q85._

Neurofibromatosis and Schwannomastosis

238.0 - 239.9

D48._

D49._

Neoplasms of uncertain behavior (except for 238.4, 238.71-238.79, 239.6, 239.7, which are listed in the reportable list)
Note: Screen for incorrectly coded malignancies or reportable by agreement tumors

249.20

E08._

Secondary diabetes mellitus with hypersmolarity
Note: Includes diabetes in neoplastic disease

273.0

D89.0

Polyclonal hypergammaglobulinemia
Note: screen for blood disorders due to neoplasm

273.1

D47.2

Monoclonal gammopathy of undetermined significance (9765/1)
Note: Screen for incorrectly coded Waldenstrom macroglobulinemia or progression

273.2

D89.1

Other paraproteinemias

273.8

273.9

E88.09

Other and unspecified disorders of plasma protein metabolism
Note: includes plasma disorders due to neoplastic disease

277.88

E88.3

Tumor lysis syndrome (following neoplastic chemotherapy)

279.02

279.03

279.05

279.12

D80.3

D80.4

D80.5

Select IgM immunodeficiency and other immunoglobulin deficiencies
Note: Associated with lymphoproliferative disorders

279.2

279.3

D81.0 - D81.2

D81.6

D81.7

D81.89

D81.9

D84.9

Combined and unspecified immunity deficiency
Note: Associated with lymphoproliferative disorders

279.41

279.49

D89.82

D89.89

Autoimmune lymphoproliferative syndrome
Note: Associated with lymphoproliferative disorders

279.50 - 279.53

D89.81_

Graft-versus-host disease

279.8

279.9

D84.1

D89.82

D89.9

Other and unspecified disorders involving the immune mechanism
Note: Associated with lymphoproliferative disorders

284.1_

D61.8_

Pancytopenia
Note: screen for anemia disorder related to neoplasm

284.81

D60._

Red cell aplasia (acquired) (adult) (with thymoma)
Note: screen for anemia disorder related to neoplasm

284.89

D61.1 - D61.3

D61.89

D61.9

Other specified aplastic anemias
Note: screen for anemia disorder related to neoplasm

284.9

D61.9

Aplastic anemia
Note: screen for anemia disorder related to neoplasm

285.0

D64.01 - D64.4

Sideroblastic anemia
Note: screen for anemia disorder related to neoplasm

285.3

D64.81

Anemia due to antineoplastic chemotherapy

287.39

287.49

287.5

D69.49

D69.59

D69.6

Secondary, other primary and unspecified thrombocytopenia
Note: Screen for incorrectly coded thrombocythemia

288.03

D70.1

Drug induced neutropenia
Note: screen for anemia disorder related to neoplasm

288.3

D72.1

Eosinophilia
Note: This is the code for eosinophilia (9964/3). Not every case of eosinophilia is associated with a malignancy. Diagnosis must be “Hypereosonophilic syndrome” to be reportable

289.89

289.9

D75.89

D75.9

D89.2

Other and unspecified diseases of blood and blood forming organs
Note: screen for anemia disorder related to neoplasm

323.81

G04.81

Other causes of encephalitis and encephalomyelitis
Note: includes encephalitis due to neoplasm

337.9

G90.9

Unspecified disorders of autonomic nervous system
Note: Includes myelopathy in neoplastic diseases

338.3

G89.3

Neoplasm related pain (acute)(chronic)

352.9

G52.9

Unspecified disorder of cranial nerves
Note: includes cranial nerves disorder in neoplastic disease

353.8

G54.8

Other nerve root and plexus disorders
Note: includes nerve root and plexus disorders in neoplastic disease

516.5

J84.82

Adult pulmonary Langerhans cell histiocytosis

569.44

K62.82

Dysplasia of anus (Anal intraepithelial neoplasia [AIN I and II])

602.3

N42.3

Dysplasia of prostate (Prostatic intraepithelial neoplasia [PIN I and II])

622.10

N87.9

Dysplasia of cervix, unspecified; cervical dysplasia, NOS

622.11

N87.0

Mild dysplasia of cervix [CIN I]

622.12

N87.1

Moderate dysplasia of cervix [CIN II]

623.0

N89._

Dysplasia of vagina (Vaginal intraepithelial neoplasia [VAIN I and II]

624.01

N90.0

N90.3

Vulvar intraepithelial neoplasia I [VIN I] & unspecified

624.02

N90.1

Vulvar intraepithelial neoplasia II [VIN II]

630

O01._

Hydatidiform mole
Note: This is a benign tumor that can become malignant. If malignant, it should be reported as Choriocarcinoma (9100/3) and will have a malignancy code in the 140-209 range

648.9_

O9A.1_

Other current conditions classifiable elsewhere complicating pregnancy
Note: Includes: malignant neoplasm complicating pregnancy

713.8

M36.1

Arthropathy associated with other conditions
Note: includes arthropathy in neoplastic disease

728.9

M62.9

Unspecified disorder of muscle, ligament, and fascia
Note: Includes disorder of muscle, ligament, fascia in neoplastic disease

733.1_

M84.5_

Pathologic fracture
Note: includes pathologic fracture due to neoplasm

758.0

Q90.0_

Down's Syndrome
Note: Screen for leukemia associated with Down’s Syndrome (9898/3)

780.79

R53.0

Neoplastic (malignant) related fatigue

785.6

R59._

Enlargement of lymph nodes
Note: Screen for large B-cell lymphoma arising in HHV8-associated multicentric Castleman disease (9738)

789.51

R18.0

Malignant ascites

790.93

R97.2

Elevated prostate specific antigen (PSA)

791.9

R82.8

Other non specific findings on examination of urine(abnormal findings on cytological and histological examination of urine)

792.0

792.2

792.4

792.9

R83.9

R84.9

R85.9

R86.9

Non specific abnormal findings in other body structures: cerebrospinal fluid, semen and saliva and other

793.11

R91.1

Solitary pulmonary nodule

793.8_

R92._

Nonspecific (abnormal) findings on radiological and examination of body structure (breast)

795.0_ - 795.1_

R87.6_

Papanicolaou smear of cervix and vagina with cytologic evidence of malignancy

795.4

R89.7

Other nonspecific abnormal histological findings

796.7_

R85.6_

Abnormal cytologic smear of anus and anal HPV

795.8_

R97._

Abnormal tumor markers; Elevated tumor associated antigens [TAA]

962.1

T38.6_

Poisoning by hormones and synthetic substitutes: Androgens and anabolic congeners

963.1

T45.1_

Poisoning by primarily systemic agents: antineoplastic and immunosuppressive drugs

990

T66

Effects of radiation, unspecified (radiation sickness)

996.54

T85.4_

Mechanical complication of other specified prosthetic device, implant, and graft-due to breast prosthesis

996.85

T86.0_

Complication of transplanted organ

999.3_

T80.2_

Complications due to central venous catheter

E858.0

T38.6_

Accidental poisoning by other drugs: Hormones and synthetic substitutes

E858.1

T45.1_

Accidental poisoning by other drugs: Primary systemic agents

E858.2

T45.8_

T45.9_

Agents primarily affecting blood constituents

E873.2

Y63.2

Failure in dosage, overdose of radiation in therapy (radiation sickness)

E878.0

Y83.0

Abnormal reaction of surgical operation with transplant of whole organ

E879.2

Y84.2

Overdose of radiation given during therapy (radiation sickness)

E930.7

None

Adverse reaction of antineoplastic therapy-Antineoplastic antibiotics

E932.1

None

Adverse reaction to antineoplastic therapy-Androgens and anabolic congeners

E933.1

None

Adverse effect (poisoning) of immunosuppressive drugs

V10.0_ - V10.9_

Z85.0_ - Z85.8_

Personal history of malignancy
Note: Screen for recurrences, subsequent primaries, and/or subsequent treatment

V12.41

Z86.011

Personal history of benign neoplasm of the brain

V13.89

Z86.000

Z86.008

Z86.011

Personal history of unspecified malignant neoplasm and history of in-situ neoplasm of other site

V15.22

Z98.871

Personal history of undergoing in utero procedure during pregnancy
Note: includes procedures on fetus for cancer related diagnosis

V15.3

Z92.3

Other personal history presenting hazards to health or radiation
Note: Personal history of therapeutic radiation

V16._

Z80._

Family history of malignant neoplasm

V42.81

V42.82

Z94.81

Z94.84

Organ or tissue replaced by transplant bone marrow, stem cell

V51.0

Z42.1

Encounter for breast reconstruction following mastectomy

V52.4

Z44.3_

Fitting and adjustment of prosthetic device and implant (breast)

V54.2_

M84.5_

Aftercare for healing pathologic fracture

V58.0

V58.1_

Z51.0

Z51.1_

Encounter for radiotherapy, chemotherapy, immunotherapy

V58.42

M84.4_

Aftercare following surgery for neoplasm

V66.1

V66.2

Z51.89

Convalescence and palliative care following radiotherapy, chemotherapy

V66.7

Z51.5

Encounter for palliative care

V67.1

V67.2

Z08

Follow up examination: following radiotherapy or chemotherapy

V71.1

Z03.89

Observation for suspected malignant neoplasm

V72.83

Z01.818

Other specified pre-operative examination (including chemotherapy)

V76._

Z12._

Special screening for malignant neoplasms

V78.8

V78.9

Z13.0

Other and unspecified disorders of blood and blood forming organs

V86 ._

Z17 ._

Estrogen receptor positive status [ER+], negative status [ER-]

V87.41

Z92.21

Personal history of antineoplastic chemotherapy

V87.43

Z92.23

Personal history of estrogen therapy

V87.46

Z92.25

Personal history of immunosuppression therapy

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The following codes are associated with the paraneoplastic syndrome. Paraneoplastic syndrome by itself is not cancer. It’s a disease or symptom that is the consequence of cancer but is not due to the local presence of cancer cells. A paraneoplastic syndrome may be the first sign of cancer. These codes have been removed from the supplemental list and are now in their own list.

ICD-9-CM Code*

ICD-10-CM Code**

Explanation of ICD-9-CM Code

253.6

E22.2

Syndrome of inappropriate secretion of antidiuretic hormone

259.2

E34.0

Carcinoid syndrome

259.8

E34.8

Other specified endocrine disorders

275.42

E83.52

Hypercalcemia

379.5_

H55._

Nystagmus and other irregular eye movements

686.01

L88

Pyoderma gangrenosum

694.4

L10.81

Pemphigus

695.89

L30.4

L53.8

L98.2

Other specified erythematous conditions

701.2

L83

Acquired acanthosis nigricans

710.3

M36.0

Dermatomyositis

710.4

M33.2_

Polymyositis

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*International Classification of Diseases, ICD-10-CM Tabular List of Diseases and Injuries, 2013.

**All information regarding ICD-10-CM, including the conversions of ICD-9-CM to ICD-10-CM based on the 2013 General Equivalency Mappings provided by CMS and NCHS on the CDC website for ICD coding: http://www.cdc.gov/nchs/icd/icd10cm.htm

 

 

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