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Neoplasms qualified as metastatic are at all times malignant, both primary or secondary. Code liver most cancers as primary since it is the site preceding ??to a site?? and code other websites as secondary. 1. Malignant neoplasm described as (of) a site to a site should be interpreted as main of the positioning previous ??to a site?? and all different websites ought to be coded as secondary except acknowledged as major, whether partially I or Part II. 1. If the morphological type of neoplasm classifiable to certainly one of the next categories: C40, C41, C43, C44, C45, C46, C49, C70, C71, and C72 is described as ??to a site?? or ??metastatic to a site,?? code the morphological type of unspecified site and code the site that follows as secondary. 7) When morphological types of neoplasms classifiable to C40, C41, C43, C44, C45, C46, C47, C49, C70, C71, and C72 without mention of a site are jointly reported with the identical morphological kind of neoplasm with mention of a site, code the morphological type of unspecified site as listed.
6) If two or extra websites with a morphology of C40, C41, C43, C44, C45, C46, C47, C49, C70, C71, and C72 are reported and all websites are certified as metastatic, add an extra code to identify the morphological type of neoplasm. Lung is on the listing of frequent sites of metastases and stomach most cancers is reported as metastatic. 4) If a single morphological type and a site, other than a typical site, code to the particular class for the morphological kind and site involved. Code all other websites as secondary. Code I(a) to secondary neoplasm of pleura since pleura is on the checklist of frequent sites of metastases. Code I(a) secondary neoplasm of lungs and liver because it states ??metastatic to?? and code I(b) primary malignant bladder carcinoma. Code I(a) secondary carcinoma of stomach preceded with C80. Code I(b) C80 for carcinoma for the reason that time period carcinoma is repeated. Code renal cell carcinoma (C64) as though the statement ??primary site unknown?? was not on the certificate. 1. When ??primary site unknown?? or its equivalent appears on the certificate and a doubtful expression equivalent to presumed or most likely is reported qualifying a particular site(s), interpret the primary to be the site(s) following the doubtful qualifying expression and code as major.
Then, code I(b) to main malignant neoplasm of ovary because it states metastatic from ovary. Then, code I(b) to main malignant neoplasm of kidney because it states metastatic from kidney. Code leukemia on I(a) and code main lung cancer partially II. Code Part II as major lung most cancers since it is reported in a distinct part from the metastatic neoplasm. Code the site partially II as secondary. If the sites are in numerous anatomical methods, code each as secondary. All sites are reported as metastatic. 1. Consider any type of the next phrases as synonymous with ??metastases or metastatic to?? when these terms comply with or are reported as because of a malignant neoplasm classifiable to C00-C76, C80, C81-C96. Code I(a) secondary liver neoplasm. Code as listed underneath mesothelioma. Code the morphological sort as the primary entry followed by the code for the location not listed underneath mesothelioma. Code mesothelioma specified site NEC. Code primary lung most cancers. Code main stomach cancer on I(a) and code major lung most cancers in part II. Code secondary liver carcinoma preceded with C80. Code C80 and primary most cancers of the breast. 1. When a morphological kind of C80 is certified as metastatic and reported with a site said to be major, code C80 and primary of the site.
Code I(a) secondary bone neoplasm. Code secondary neoplasm of each site listed. 2) If no site is reported but the morphological kind is certified as metastatic, code to major site unspecified of the actual morphological sort concerned. Code to malignant melanoma of pores and skin of arm (C436), since on this case the ailing-defined site of arm is a particular site for melanoma, not a typical site of metastases classifiable to C76. Code to secondary malignant neoplasm of each site. The word ??to?? signifies that the rectum is secondary. Code the positioning specific neoplasm, hepatoma as listed adopted by the code for secondary mind neoplasm. When a site particular neoplasm is certified as metastatic, code as indexed. Code as listed under Meningioma, malignant. Code as listed. Melanoma is a morphological kind of neoplasm and is indexed to C439. Code to unspecified site of rhabdomyosarcoma on I(a) and code rhabdomyosarcoma kidney as indexed. Interpret metastatic neoplasm of bone from leg to be an announcement of main and code I(b) main malignant neoplasm of leg. Code major carcinoma of gallbladder since it’s the one site not specified as metastatic.
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