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 ill-defined, other secondary and unspecified sites (C76-C80)
C76
Malignant neoplasm of other and ill-defined sites[+]
Excludes 1:
malignant neoplasm of female genitourinary tract NOS (C57.9) malignant neoplasm of male genitourinary tract NOS (C63.9) malignant neoplasm of lymphoid, hematopoietic and related tissue (C81-C96) malignant neoplasm of skin (C44.-) malignant neoplasm of unspecified site NOS (C80.1)
Malignant neoplasm of pelvis Malignant neoplasm of groin NOS Malignant neoplasm of sites overlapping systems within the pelvis Rectovaginal (septum) malignant neoplasm Rectovesical (septum) malignant neoplasm
Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck Secondary and unspecified malignant neoplasm of supraclavicular lymph nodes
Malignant (primary) neoplasm, unspecified Cancer NOS Cancer unspecified site (primary) Carcinoma unspecified site (primary) Malignancy unspecified site (primary)
Excludes 1:
secondary malignant neoplasm of unspecified site (C79.9)