II. NEOPLASMS Notes: 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, page 140] 239 Neoplasms of unspecified nature 2. Functional activity All neoplasms are classified in this chapter, whether or not functionally active. 3. 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) 140 Malignant neoplasm of lip Excludes: skin of lip (173.0) 140.0 Upper lip, vermilion border Upper lip: NOS external lipstick area ICD-9/Ch02.TXT - pg. 1 140.1 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 140.8 Other [see Note 3 at beginning of Chapter II] 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 ICD-9/Ch02.TXT - pg. 2 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 [see Note 3 at beginning of Chapter II] 141.9 Tongue, unspecified Tongue NOS 142 Malignant neoplasm of major salivary glands Excludes: malignant neoplasm of minor salivary glands, which are to be classified according to their anatomical location; if location is not specified, classify to 145.9. 142.0 Parotid gland 142.1 Submandibular gland Submaxillary gland 142.2 Sublingual gland 142.8 Other [see Note 3 at beginning of Chapter II] 142.9 Site unspecified Salivary gland (major) NOS 143 Malignant neoplasm of gum Includes: alveolar (ridge) mucosa gingiva Excludes: malignant odontogenic neoplasms (170.-) ICD-9/Ch02.TXT - pg. 3 143.0 Upper gum 143.1 Lower gum 143.8 Other [see Note 3 at beginning of Chapter II] 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 [see Note 3 at beginning of Chapter II] 144.9 Part unspecified 145 Malignant neoplasm of other and unspecified parts of mouth Excludes: mucosa of lips (140.-) 145.0 Cheek mucosa Buccal mucosa Internal cheek 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 [see Note 3 at beginning of Chapter II] ICD-9/Ch02.TXT - pg. 4 145.9 Mouth, unspecified 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) 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 [see Note 3 at beginning of Chapter II] 146.9 Oropharynx, unspecified 147 Malignant neoplasm of nasopharynx ICD-9/Ch02.TXT - pg. 5 147.0 Superior wall Roof of nasopharynx 147.1 Posterior wall Adenoid Pharyngeal tonsil 147.2 Lateral wall Fossa of Rosenmller Pharyngeal recess Opening of auditory tube 147.3 Anterior wall Floor of nasopharynx Nasopharyngeal [posterior] [superior] surface of soft palate Posterior margin of nasal septum and choanae 147.8 Other [see Note 3 at beginning of Chapter II] 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 [see Note 3 at beginning of Chapter II] 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 ICD-9/Ch02.TXT - pg. 6 149.0 Pharynx, unspecified 149.1 Waldeyer's ring 149.8 Other [see Note 3 at beginning of Chapter II] Malignant neoplasms of lip, oral cavity, and pharynx whose point of origin cannot be assigned to any one of the categories 140-148 149.9 Ill-defined MALIGNANT NEOPLASM OF DIGESTIVE ORGANS AND PERITONEUM (150-159) 150 Malignant neoplasm of esophagus Note: Two alternative subclassifications are given:-- .0-.2 by anatomical description .3-.5 by thirds This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are currently encountered on medical records. 150.0 Cervical part 150.1 Thoracic part 150.2 Abdominal part 150.3 Upper third 150.4 Middle third 150.5 Lower third 150.8 Other [see Note 3 at beginning of Chapter II] 150.9 Esophagus, unspecified 151 Malignant neoplasm of stomach 151.0 Cardia Cardiac orifice Cardio-esophageal junction 151.1 Pylorus Prepylorus Pyloric canal 151.2 Pyloric antrum Antrum of stomach NOS ICD-9/Ch02.TXT - pg. 7 151.3 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 [see Note 3 at beginning of Chapter II] Anterior wall, not classifiable to 151.0-151.4 Posterior wall, not classifiable to 151.0-151.4 151.9 Stomach, unspecified Carcinoma ventriculi Gastric cancer 152 Malignant neoplasm of small intestine, including duodenum 152.0 Duodenum 152.1 Jejunum 152.2 Ileum Excludes: ileocaecal valve (153.4) 152.3 Meckel's diverticulum 152.8 Other [see Note 3 at beginning of Chapter II] Duodenojejunal junction 152.9 Small intestine, unspecified 153 Malignant neoplasm of colon 153.0 Hepatic flexure 153.1 Transverse colon 153.2 Descending colon 153.3 Sigmoid colon Sigmoid (flexure) Excludes: rectosigmoid junction (154.0) ICD-9/Ch02.TXT - pg. 8 153.4 Cacum Ileocecal valve 153.5 Appendix 153.6 Ascending colon 153.7 Splenic flexure 153.8 Other [see Note 3 at beginning of Chapter II] 153.9 Colon, unspecified Large intestine NOS 154 Malignant neoplasm of rectum, rectosigmoid junction, and anus 154.0 Rectosigmoid junction Colon and rectum Rectosigmoid (colon) 154.1 Rectum Rectal ampulla 154.2 Anal canal Anal sphincter 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 [see Note 3 at beginning of Chapter II] Anorectum Cloacogenic zone 155 Malignant neoplasm of liver and intrahepatic bile ducts 155.0 Liver, primary Carcinoma: liver, specified as primary hepatocellular liver cell Hepatoblastoma ICD-9/Ch02.TXT - pg. 9 155.1 Intrahepatic bile ducts Canaliculi biliferi Intrahepatic: Interlobular: biliary passages bile ducts canaliculi biliary canals gall duct 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 Cystic duct Common bile duct Hepatic duct 156.2 Ampulla of Vater 156.8 Other [see Note 3 at beginning of Chapter II] 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 157.8 Other [see Note 3 at beginning of Chapter II] 157.9 Part unspecified 158 Malignant neoplasm of retroperitoneum and peritoneum 158.0 Retroperitoneum ICD-9/Ch02.TXT - pg. 10 158.8 Specified parts of peritoneum [see Note 3 at beginning of Chapter II] Mesentery Peritoneum: Mesocolon parietal Omentum pelvic 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.-) lymphosarcoma (200.1) reticulosarcoma (200.0) 159.8 Other [see Note 3 at beginning of Chapter II] Malignant neoplasm of digestive organs and peritoneum whose point of origin cannot be assigned to any one of the categories 150-158 Excludes: cardio-esophageal junction (151.0) colon and rectum (154.0) 159.9 Ill-defined Alimentary canal or tract NOS Gastrointestinal tract NOS MALIGNANT NEOPLASM OF RESPIRATORY AND INTRATHORACIC ORGANS (160-165) 160 Malignant neoplasm of nasal cavities, middle ear, and accessory sinuses 160.0 Nasal cavities Cartilage of nose Septum of nose Conchae, nasal Vestibule of nose Internal 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) ICD-9/Ch02.TXT - pg. 11 160.1 Auditory tube, middle ear, and mastoid air cells Antrum tympanicum Tympanic cavity Eustachian tube Excludes: auricular 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 [see Note 3 at beginning of Chapter II] 160.9 Accessory sinus, unspecified 161 Malignant neoplasm of larynx 161.0 Glottis Intrinsic larynx True vocal cord Laryngeal commissure Vocal cord NOS (anterior) (posterior) 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: Cartilage: arytenoid cuneiform cricoid thyroid ICD-9/Ch02.TXT - pg. 12 161.8 Other [see Note 3 at beginning of Chapter II] 161.9 Larynx, unspecified 162 Malignant neoplasm of trachea, bronchus, and lung 162.0 Trachea 162.2 Main bronchus Carina Hilus 162.3 Upper lobe, bronchus or lung 162.4 Middle lobe, bronchus or lung 162.5 Lower lobe, bronchus or lung 162.8 Other [see Note 3 at beginning of Chapter II] 162.9 Bronchus and lung, unspecified 163 Malignant neoplasm of pleura 163.0 Parietal 163.1 Visceral 163.8 Other [see Note 3 at beginning of Chapter II] 163.9 Pleura, unspecified 164 Malignant neoplasm of thymus, heart, and mediastinum 164.0 Thymus 164.1 Heart Pericardium Excludes: great vessels (171.4) 164.2 Anterior mediastinum 164.3 Posterior mediastinum 164.8 Other [see Note 3 at beginning of Chapter II] 164.9 Mediastinum, part unspecified 165 Malignant neoplasm of other and ill-defined sites within the respiratory system and intrathoracic organs ICD-9/Ch02.TXT - pg. 13 165.0 Upper respiratory tract, part unspecified 165.8 Other [see Note 3 at beginning of Chapter II] Malignant neoplasms 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 (170-175) 170 Malignant neoplasm of bone and articular cartilage Excludes: bone marrow NOS (202.9) cartilage: ear (171.0) eyelid (171.0) larynx (161.3) nose (160.0) synovia (171.-) 170.0 Bones of skull and face Bone: Bone: ethmoid sphenoid frontal temporal malar zygomatic nasal Maxilla occipital Turbinate orbital Vomer parietal Excludes: carcinoma, any type other than intraosseous or odontogenic: maxilla, maxillary (sinus) (160.2) upper jaw bone (143.0) jaw bone (lower) (170.1) 170.1 Lower jaw bone Mandible Jaw bone NOS Excludes: carcinoma, any type other than intraosseous or odontogenic: jaw bone NOS (143.9) lower (143.1) upper jaw bone (170.0) ICD-9/Ch02.TXT - pg. 14 170.2 Vertebral column, excluding sacrum and coccyx Spinal column Vertebra Spine 170.3 Ribs, sternum, and clavicle Costal cartilage Xiphoid process 170.4 Long bones of upper limb and scapula Acromion process Radius Bones NOS of upper limb Ulna Humerus 170.5 Upper limbs, Short bones Carpal Scaphoid (of hand) Cuneiform, wrist Semilunar or lunate Metacarpal Trapezium Phalanges of hand Trapezoid Pisiform Unciform 170.6 Pelvic bones, sacrum, and coccyx Coccygeal vertebra Ilium Ischium Pubic bone Sacral vertebra 170.7 Lower limb, long bones Bones NOS of lower limb Femur Fibula Tibia 170.8 Lower limb, short bones Astragalus Navicular (of ankle) Calcaneus Patella Cuboid Phalanges of foot Cuneiform, ankle Tarsal Metatarsal 170.9 Site unspecified Chondrosarcoma } Chondromyxosarcoma } site unspecified Ewing's sarcoma or tumor } Osteosarcoma } ICD-9/Ch02.TXT - pg. 15 171 Malignant neoplasm of connective and other soft tissue Includes: blood vessel peripheral, sympathetic, and bursa parasympathetic nerves fascia and ganglia fat synovia ligament, except uterine tendon (sheath) muscle Excludes: cartilage (of): articular (170.-) larynx (161.3) nose (160.0) connective tissue of breast (174.-) heart (164.1) 171.0 Head, face, and neck Cartilage of: ear eyelid 171.2 Upper limb, including shoulder 171.3 Lower limb, including hip 171.4 Thorax Axilla Diaphragm Great vessels Excludes: thymus, heart and mediastinum (164.-) 171.5 Abdomen Abdominal wall Hypochondrium 171.6 Pelvis Buttock Groin Perineum Excludes: uterine ligament, any (183.-) 171.7 Trunk, unspecified Back NOS 171.8 Other [see Note 3 at beginning of Chapter II] ICD-9/Ch02.TXT - pg. 16 171.9 Site unspecified Fibrosarcoma } Hemangiosarcoma } Leiomysarcoma } Liposarcoma } Lymphangiosarcoma } site unspecified Myosarcoma } Myxosarcoma } Rhabdomyosarcoma } Sarcoma } Sarcomatosis } 172 Malignant melanoma of skin Includes: melanocarcinoma melanoma (skin) NOS Excludes: skin of genital organs (184.-) 172.0 Lip Excludes: vermilion border of lip (140.-) 172.1 Eyelid, including canthus 172.2 Ear and external auditory canal Auricle (ear) Pinna External meatus 172.3 Other and unspecified parts of face Cheek (external) Nose, external Eyebrow Temple 172.4 Scalp and neck 172.5 Trunk, except scrotum Axilla Perianal skin Breast Perineum Buttock Umbilicus Groin Excludes: anus NOS (154.3) scrotum (187.7) 172.6 Upper limb, including shoulder 172.7 Lower limb, including hip 172.8 Other [see Note 3 at beginning of Chapter II] ICD-9/Ch02.TXT - pg. 17 172.9 Site unspecified 173 Other malignant neoplasm of skin Includes: malignant neoplasm of: sebaceous glands sweat glands Excludes: malignant melanoma of skin (172.-) skin of genital organs (184.-, 187.-) 173.0 Skin of lip Excludes: vermilion border of lip (140.-) 173.1 Eyelid, including canthus Excludes: cartilage of eyelid (171.0) 173.2 Ear and external auricular canal Auricle (ear) Pinna External meatus Excludes: cartilage of ear (171.0) 173.3 Skin of other and unspecified parts of face Cheek, external Nose, external Eyebrow Temple 173.4 Scalp and skin of neck 173.5 Skin of trunk, except scrotum Axillary fold Perianal skin Umbilicus Skin of: abdominal wall anus back breast buttock chest wall groin perineum Excludes: anal canal (154.2) anus NOS (154.3) skin of scrotum (187.7) ICD-9/Ch02.TXT - pg. 18 173.6 Skin of upper limb, including shoulder 173.7 Skin of lower limb, including hip 173.8 Other [see Note 3 at beginning of Chapter II] 173.9 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 [see Note 3 at beginning of Chapter II] Ectopic sites 174.9 Breast, unspecified 175 Malignant neoplasm of male breast Excludes: skin of breast (172.5, 173.5) MALIGNANT NEOPLASM OF GENITOURINARY ORGANS (179-189) 179 Malignant neoplasm of uterus, part unspecified 180 Malignant neoplasm of cervix uteri 180.0 Endocervix Cervical canal NOS Endocervical gland Endocervical canal ICD-9/Ch02.TXT - pg. 19 180.1 Exocervix 180.8 Other [see Note 3 at beginning of Chapter II] 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) 182 Malignant neoplasm of body of uterus 182.0 Corpus uteri, except isthmus Cornu Fundus Endometrium Myometrium 182.1 Isthmus Lower uterine segment 182.8 Other [see Note 3 at beginning of Chapter II] 183 Malignant neoplasm of ovary and other uterine adnexa 183.0 Ovary 183.2 Fallopian tube Oviduct Uterine tube 183.3 Broad ligament 183.4 Parametrium Uterine ligament NOS 183.5 Round ligament 183.8 Other [see Note 3 at beginning of Chapter II] 183.9 Uterine adnexa, unspecified 184 Malignant neoplasm of other and unspecified female genital organs 184.0 Vagina ICD-9/Ch02.TXT - pg. 20 184.1 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 [see Note 3 at beginning of Chapter II] 184.9 Site unspecified Female genitourinary tract NOS 185 Malignant neoplasm of prostate 186 Malignant neoplasm of testis 186.0 Undescended Ectopic testis Retained testis 186.9 Other and unspecified 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 ICD-9/Ch02.TXT - pg. 21 187.7 Scrotum Skin of scrotum 187.8 Other [see Note 3 at beginning of Chapter II] 187.9 Site unspecified Male genital organ or tract NOS 188 Malignant neoplasm of bladder 188.0 Trigone 188.1 Dome 188.2 Lateral wall 188.3 Anterior wall 188.4 Posterior wall 188.5 Bladder neck Internal urethral orifice 188.6 Ureteric orifice 188.7 Urachus 188.8 Other [see Note 3 at beginning of Chapter II] 188.9 Part unspecified 189 Malignant neoplasm of kidney and other and unspecified urinary organs 189.0 Kidney, except pelvis 189.1 Renal pelvis Renal calyces Pelviureteric 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 [see Note 3 at beginning of Chapter II] ICD-9/Ch02.TXT - pg. 22 189.9 Site unspecified Urinary system NOS MALIGNANT NEOPLASM OF OTHER AND UNSPECIFIED SITES (190-199) 190 Malignant neoplasm of eye Excludes: eyelid (skin) (172.1, 173.1) cartilage of eyelid (171.0) optic nerve (192.0) orbital bone (170.0) 190.0 Eyeball, except conjunctiva, cornea, retina, and choroid Ciliary body 190.1 Orbit Connective tissue of orbit Retrobulbar Extraocular muscle Excludes: orbit bone (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 [see Note 3 at beginning of Chapter II] 190.9 Part unspecified 191 Malignant neoplasm of brain Excludes: cranial nerves (192.-) retrobulbar area (190.1) 191.0 Cerebrum, except lobes and ventricles 191.1 Frontal lobe 191.2 Temporal lobe ICD-9/Ch02.TXT - pg. 23 191.3 Parietal lobe 191.4 Occipital lobe 191.5 Ventricles Floor of ventricle 191.6 Cerebellum 191.7 Brain stem 191.8 Other [see Note 3 at beginning of Chapter II] 191.9 Brain, unspecified Astrocytoma } Astroblastoma } Ependymoma } site unspecified Glioma } Medulloblastoma } Neuroepithelioma } Oligodendroblastoma } 192 Malignant neoplasm of other and unspecified parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (171.-) 192.0 Cranial nerves 192.1 Cerebral meninges Meninges NOS 192.2 Spinal cord 192.3 Spinal meninges 192.8 Other [see Note 3 at beginning of Chapter II] 192.9 Part unspecified Nervous system (central) NOS Excludes: meninges NOS (192.1) 193 Malignant neoplasm of thyroid gland 194 Malignant neoplasm of other endocrine glands and related structures Excludes: islets of Langerhans (157.4) ICD-9/Ch02.TXT - pg. 24 194.0 Suprarenal gland Adrenal gland 194.1 Parathyroid gland 194.3 Pituitary gland and craniopharyngeal duct 194.4 Pineal gland 194.5 Carotid body 194.6 Aortic body and other paraganglia 194.8 Other Pluriglandular involvement NOS Note: If the sites of multiple involvements are known, they should be coded separately. 194.9 Site unspecified Endocrine gland NOS 195 Malignant neoplasm of other and ill-defined sites Includes: overlapping neoplasms, not elsewhere classified [see Note 3 at beginning of Chapter II] Excludes: malignant neoplasm: lymphatic and hematopoietic tissue (200-208) unspecified site (199.-) 195.0 Head, face, and neck Cheek NOS Nose NOS 195.1 Thorax Axilla 195.2 Abdomen 195.3 Pelvis Groin Sites overlapping systems within pelvis, such as: rectovaginal (septum) rectovesical (septum) 195.4 Upper limb ICD-9/Ch02.TXT - pg. 25 195.5 Lower limb 195.8 Other specified sites 196 Secondary and unspecified malignant neoplasm of lymph nodes [Not to be used for underlying cause of death] Excludes: any malignant neoplasm of lymph nodes, specified as primary (200-202) Hodgkin's disease (201.-) lymphosarcoma (200.1) other forms of lymphoma (202.-) reticulosarcoma (200.0) 196.0 Head, face, and neck Cervicofacial Supraclavicular 196.1 Intrathoracic Bronchopulmonary Tracheobronchial Mediastinal 196.2 Intra-abdominal Intestinal Retroperitoneal Mesenteric 196.3 Axilla and upper limb Brachial Pectoral Epitrochlear 196.5 Inguinal and lower limb Groin Tibial Popliteal 196.6 Intrapelvic lymph nodes Iliac Obturator 196.8 Multiple sites 196.9 Site unspecified Lymph nodes NOS 197 Secondary malignant neoplasm of respiratory and digestive systems [Not to be used for underlying cause of death]. ICD-9/Ch02.TXT - pg. 26 197.0 Lung 197.1 Mediastinum 197.2 Pleura 197.3 Other respiratory organs 197.4 Small intestine, including duodenum 197.5 Large intestine and rectum 197.6 Retroperitoneum and peritoneum 197.7 Liver 197.8 Other digestive organs 198 Secondary malignant neoplasm of other specified sites [Not to be used for underlying cause of death] 198.0 Kidney 198.1 Other urinary organs 198.2 Skin 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 Suprarenal gland 198.8 Other specified sites 199 Malignant neoplasm without specification of site 199.0 Disseminated Carcinomatosis unspecified site (primary) (secondary) Generalized: cancer unspecified site (primary) (secondary) malignancy unspecified site (primary) (secondary) Multiple cancer unspecified site (primary) (secondary) ICD-9/Ch02.TXT - pg. 27 199.1 Other Cancer unspecified site (primary) (secondary) Carcinoma unspecified site (primary) (secondary) Malignancy unspecified site (primary) (secondary) MALIGNANT NEOPLASM OF LYMPHATIC AND HEMATOPOIETIC TISSUE (200-208) Excludes: secondary and unspecified neoplasm of lymph nodes (196.-) 200 Lymphosarcoma and reticulosarcoma 200.0 Reticulosarcoma 200.1 Lymphosarcoma Excludes: lymphosarcoma cell leukemia (207.8) 200.2 Burkitt's tumor 200.8 Other named variants Reticulolymphosarcoma 201 Hodgkin's disease Note: Two alternative sub-classifications are given: .0-.2 Parker-Jackson .4-.7 Rye modification of Lukes-Butler This departure from the principle that categories should be mutually exclusive is deliberate, since both forms of terminology are currently encountered on medical records. 201.0 Hodgkin's paragranuloma 201.1 Hodgkin's granuloma 201.2 Hodgkin's sarcoma 201.4 Lymphocytic-histiocytic predominance 201.5 Nodular sclerosis 201.6 Mixed cellularity 201.7 Lymphocytic depletion 201.9 Unspecified 202 Other malignant neoplasms of lymphoid and histiocytic tissue ICD-9/Ch02.TXT - pg. 28 202.0 Nodular lymphoma Brill-Symmers disease Follicular lymphoma 202.1 Mycosis fungoides 202.2 Sezary's disease 202.3 Malignant histiocytosis 202.4 Leukemic reticuloendotheliosis Hairy-cell leukemia 202.5 Letterer-Siwe disease Acute: differentiated progressive histiocytosis progressive histiocytosis X infantile reticuloendotheliosis reticulosis of infancy Excludes: histiocytosis (acute) (chronic) (277.8) histiocytosis X (chronic) (277.8) 202.6 Malignant mast-cell tumors Malignant: Mast-cell sarcoma mastocytoma mastocytosis Excludes: mast-cell leukemia (207.8) 202.8 Other lymphomas Lymphoma (malignant): NOS diffuse 202.9 Other and unspecified 203 Multiple myeloma and immunoproliferative neoplasms 203.0 Multiple myeloma Kahler's disease Myelomatosis Excludes: solitary myeloma (238.6) 203.1 Plasma cell leukemia 203.8 Other immunoproliferative neoplasms ICD-9/Ch02.TXT - pg. 29 204 Lymphoid leukemia Includes: leukemia: lymphatic lymphocytic 204.0 Acute Excludes: acute exacerbation of chronic lymphoid leukemia (204.1) 204.1 Chronic 204.2 Subacute 204.8 Other 204.9 Unspecified 205 Myeloid leukemia Includes: leukemia: granulocytic myelogenous 205.0 Acute Excludes: acute exacerbation of chronic myeloid leukemia (205.1) 205.1 Chronic 205.2 Subacute 205.3 Myeloid sarcoma Chloroma Granulocytic sarcoma 205.8 Other 205.9 Unspecified 206 Monocytic leukemia Includes: monocytoid leukemia 206.0 Acute Excludes: acute exacerbation of chronic monocytic leukemia (206.1) 206.1 Chronic 206.2 Subacute 206.8 Other ICD-9/Ch02.TXT - pg. 30 206.9 Unspecified 207 Other specified leukemia Excludes: leukemic reticuloendotheliosis (202.4) plasma cell leukemia (203.1) 207.0 Acute erythremia and erythroleukemia Acute erythremic myelosis Di Guglielmo's disease 207.1 Chronic erythremia Heilmeyer-Schner disease 207.2 Megakaryocytic leukemia 207.8 Other Lymphosarcoma cell leukemia 208 Leukemia of unspecified cell type 208.0 Acute Acute leukemia NOS Stem cell leukemia Blast cell leukemia Excludes: acute exacerbation of unspecified leukemia (208.1) 208.1 Chronic Chronic leukemia NOS 208.2 Subacute Subacute leukemia NOS 208.8 Other 208.9 Unspecified Leukemia NOS BENIGN NEOPLASMS (210-229) 210 Benign neoplasm of lip, oral cavity, and pharynx Excludes: cyst of jaw (522.-, 526.-) cyst of oral soft tissue (528.-) ICD-9/Ch02.TXT - pg. 31 210.0 Lip Frenulum labii Lip (inner aspect) (mucosa) (vermilion border) Excludes: labial commissure (210.4) skin of lip (216.0) 210.1 Tongue Lingual tonsil 210.2 Major salivary glands Gland: parotid sublingual submandibular Excludes: benign neoplasms of minor salivary glands which are to be classified according to their anatomical location; if location is not specified, classify to 210.4 210.3 Floor of mouth 210.4 Other and unspecified parts of mouth Gingiva Oral mucosa Labial commissure Palate (hard) (soft) Oral cavity NOS Uvula Excludes: benign odontogenic neoplasms (213.-) mucosa of lips (210.0) nasopharyngeal [posterior] [superior] surface of soft palate (210.7) 210.5 Tonsil Tonsil (faucial) (palatine) Excludes: lingual tonsil (210.1) pharyngeal tonsil (210.7) tonsillar: fossa (210.6) pillars (210.6) 210.6 Other parts of oropharynx Epiglottis, anterior aspect Vallecula Tonsillar: fossa pillars ICD-9/Ch02.TXT - pg. 32 Excludes: epiglottis: NOS (212.1) suprahyoid portion (212.1) 210.7 Nasopharynx 210.8 Hypopharynx 210.9 Pharynx, unspecified 211 Benign neoplasm of other parts of digestive system 211.0 Esophagus 211.1 Stomach 211.2 Small intestine, including duodenum Excludes: ampulla of Vater (211.5) ileocecal valve (211.3) 211.3 Colon Excludes: rectosigmoid junction (211.4) 211.4 Rectum and anal canal Anus NOS Excludes: anus: margin (216.5) skin (216.5) perianal skin (216.5) 211.5 Liver and biliary passages 211.6 Pancreas, except islets of Langerhans 211.7 Islets of Langerhans Islet cell tumor 211.8 Retroperitoneum and peritoneum 211.9 Other and unspecified site Alimentary canal or tract NOS Intestine NOS Gastrointestinal tract NOS Spleen, not elsewhere classified 212 Benign neoplasm of respiratory and intrathoracic organs 212.0 Nasal cavities, middle ear, and accessory sinuses ICD-9/Ch02.TXT - pg. 33 Excludes: auricular canal (external) (216.2) bone of: ear (213.0) nose (213.0) cartilage of ear (215.0) ear (external) (skin) (216.2) nose NOS (229.8) skin (216.3) olfactory bulb (225.1) polyp of: accessory sinus (471.8) ear (387.9) nasal cavity (471.0) posterior margin of septum and choanae (210.7) 212.1 Larynx Excludes: epiglottis, anterior aspect (210.6) polyp of vocal cord or larynx (478.4) 212.2 Trachea 212.3 Bronchus and lung 212.4 Pleura 212.5 Mediastinum 212.6 Thymus 212.7 Heart Excludes: great vessels (215.4) 212.8 Other specified sites 212.9 Site unspecified Respiratory organ NOS Upper respiratory tract NOS Excludes: intrathoracic NOS (229.8) thoracic NOS (229.8) 213 Benign neoplasm of bone and articular cartilage Excludes: cartilage of: ear (215.0) eyelid (215.0) larynx (212.1) nose (212.0) synovia (215.-) ICD-9/Ch02.TXT - pg. 34 213.0 Bones of skull and face Excludes: lower jaw bone (213.1) 213.1 Lower jaw bone 213.2 Vertebral column, excluding sacrum and coccyx 213.3 Ribs, sternum, and clavicle 213.4 Long bones of upper limb and scapula 213.5 Upper limb, short bones 213.6 Pelvic bones, sacrum, and coccyx 213.7 Lower limb, long bones 213.8 Lower limb, short bones 213.9 Site unspecified Chondroma } site Osteoma } unspecified 214 Lipoma Any site: Angiolipoma Fibrolipoma Hibernoma Lipoma (fetal) (infiltrating) (intramuscular) Myxolipoma 215 Other benign neoplasm of connective and other soft tissue Includes: blood vessel peripheral, sympathetic, and bursa parasympathetic nerves and ganglia fascia synovia ligament tendon (sheath) muscle Excludes: cartilage: articular (213.-) larynx (212.1) nose (212.0) connective tissue of breast (217) 215.0 Head, face, and neck 215.2 Upper limb, including shoulder 215.3 Lower limb, including hip ICD-9/Ch02.TXT - pg. 35 215.4 Thorax Excludes: heart (212.7) mediastinum (212.5) thymus (212.6) 215.5 Abdomen 215.6 Pelvis Excludes: uterine: leiomyoma (218) ligament, any (221.0) 215.7 Trunk, unspecified Back NOS 215.8 Other specified sites 215.9 Site unspecified Leiomyoma } Myoma } site Myxofibroma } unspecified Myxoma } Rhabdomyoma } 216 Benign neoplasm of skin Includes: blue naevus dermatofibroma hydrocystoma pigmented naevus syringoadenoma syringoma Excludes: skin of genital organs (221.-, 222.-) 216.0 Skin of lip Excludes: vermilion border of lip (210.0) 216.1 Eyelid, including canthus Excludes: cartilage of eyelid (215.0) 216.2 Ear and external auditory canal Auricle (ear) Pinna External meatus Excludes: cartilage of ear (215.0) ICD-9/Ch02.TXT - pg. 36 216.3 Skin of other and unspecified parts of face Cheek, external Nose, external Eyebrow Temple 216.4 Scalp and skin of neck 216.5 Skin of trunk, except scrotum Axillary fold Skin of: Perianal skin abdominal wall Umbilicus anus back breast buttock chest wall groin perineum Excludes: anal canal (211.4) anus NOS (211.4) skin of scrotum (222.4) 216.6 Skin of upper limb, including shoulder 216.7 Skin of lower limb, including hip 216.8 Other 216.9 Site unspecified 217 Benign neoplasm of breast Breast (male) (female) connective tissue soft parts Excludes: benign cyst of breast (610.-) skin of breast (216.5) 218 Uterine leiomyoma Fibroid (uterus) Fibromyoma } uterus Myoma } 219 Other benign neoplasm of uterus 219.0 Cervix uteri 219.1 Corpus uteri 219.8 Other specified parts ICD-9/Ch02.TXT - pg. 37 219.9 Part unspecified 220 Benign neoplasm of ovary 221 Benign neoplasm of other female genital organs Includes: adenomatous polyp benign teratoma 221.0 Uterine tube and ligaments Fallopian tube Oviduct Uterine ligament (broad) (round) 221.1 Vagina 221.2 Vulva Clitoris External female genitalia NOS Greater vestibular [Bartholin's] gland Labia (majora) (minora) Pudendum 221.8 Other specified sites 221.9 Site unspecified 222 Benign neoplasm of male genital organs 222.0 Testis 222.1 Penis Corpus cavernosum Glans penis Prepuce 222.2 Prostate Excludes: adenomatous hyperplasia of prostate (600) prostatic: adenoma (600) enlargement (600) hypertrophy (600) 222.3 Epididymis 222.4 Scrotum Skin of scrotum ICD-9/Ch02.TXT - pg. 38 222.8 Other specified sites Seminal vesicle Spermatic cord 222.9 Site unspecified 223 Benign neoplasm of kidney and other urinary organs 223.0 Kidney, except pelvis Excludes: renal: calyces (223.1) pelvis (223.1) 223.1 Renal pelvis 223.2 Ureter Excludes: ureteric orifice of bladder (223.3) 223.3 Bladder 223.8 Other specified sites Paraurethral glands Urethra Excludes: urethral orifice of bladder(223.3) 223.9 Site unspecified Urinary system NOS 224 Benign neoplasm of eye Excludes: cartilage of eyelid (215.0) eyelid (skin) (216.1) optic nerve (225.1) orbital bone (213.0) 224.0 Eyeball, except conjunctiva, cornea, retina, and choroid 224.1 Orbit 224.2 Lacrimal gland 224.3 Conjunctiva 224.4 Cornea 224.5 Retina Excludes: haemangioma of retina (228.0) ICD-9/Ch02.TXT - pg. 39 224.6 Choroid 224.7 Lacrimal duct Lacrimal sac Nasolacrimal duct 224.8 Other specified parts 224.9 Part unspecified 225 Benign neoplasm of brain and other parts of nervous system Excludes: haemangioma (228.0) peripheral, sympathetic, and parasympathetic nerves and ganglia (215.-) retrobulbar (224.1) 225.0 Brain 225.1 Cranial nerves 225.2 Cerebral meninges Meninges NOS Meningioma (cerebral) 225.3 Spinal cord 225.4 Spinal meninges Spinal meningioma 225.8 Other 225.9 Part unspecified Nervous system (central) NOS Excludes: meninges NOS (225.2) 226 Benign neoplasm of thyroid glands 227 Benign neoplasm of other endocrine glands and related structures 227.0 Suprarenal gland Adrenal gland 227.1 Parathyroid gland 227.3 Pituitary gland and craniopharyngeal duct 227.4 Pineal gland ICD-9/Ch02.TXT - pg. 40 227.5 Carotid body 227.6 Aortic body and other paraganglia 227.8 Other 227.9 Site unspecified Endocrine gland NOS 228 Hemangioma and lymphangioma, any site Excludes: blue or pigmented naevus (216.-) 228.0 Haemangioma, any site Angioma (benign) (cavernous) (congenital) NOS Glomus tumor Haemangioma (benign) (congenital) Naevus: NOS cavernous vascular Systemic angiomatosis 228.1 Lymphangioma, any site Congenital lymphangioma Lymphatic nevus 229 Benign neoplasm of other and unspecified sites 229.0 Lymph nodes 229.8 Other specified sites 229.9 Site unspecified CARCINOMA IN SITU (230-234) Includes: Bowen's disease erythroplasia Queyrat's erythroplasia 230 Carcinoma in situ of digestive organs 230.0 Lip, oral cavity, and pharynx Gingiva Oropharynx Hypopharynx Salivary gland or duct Mouth [any part] Tongue Nasopharynx ICD-9/Ch02.TXT - pg. 41 Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (231.0) epiglottis: NOS (231.0) suprahyoid portion (231.0) skin of lip (232.0) 230.1 Esophagus 230.2 Stomach 230.3 Colon Excludes: rectosigmoid junction (230.4) 230.4 Rectum 230.5 Anal canal 230.6 Anus, unspecified Excludes: anus: margin (232.5) skin (232.5) perianal skin (232.5) 230.7 Other and unspecified parts of intestine Excludes: ampulla of Vater (230.8) 230.8 Liver and biliary system 230.9 Other and unspecified digestive organs Digestive organ NOS Pancreas 231 Carcinoma in situ of respiratory system 231.0 Larynx Excludes: aryepiglottic fold or interarytenoid fold: NOS (230.0) hypopharyngeal aspect (230.0) marginal zone (230.0) 231.1 Trachea 231.2 Bronchus and lung 231.8 Other specified parts Accessory sinuses Nasal cavities Middle ear ICD-9/Ch02.TXT - pg. 42 Excludes: ear (external) (skin) (232.2) nose NOS (234.8) skin (232.3) 231.9 Part unspecified Respiratory organ NOS 232 Carcinoma in situ of skin Includes: pigment cells 232.0 Skin of lip Excludes: vermilion border of lip (230.0) 232.1 Eyelid, including canthus 232.2 Ear and external auditory canal 232.3 Skin of other and unspecified parts of face 232.4 Scalp and skin of neck 232.5 Skin of trunk, except scrotum Anus, margin Skin of: Axillary fold abdominal wall Perianal skin anus Umbilicus back breast buttock chest wall groin perineum Excludes: anal canal (230.5) anus NOS (230.6) skin of genital organs (233.3, 233.5, 233.6) 232.6 Skin of upper limb, including shoulder 232.7 Skin of lower limb, including hip 232.8 Other specified sites 232.9 Site unspecified 233 Carcinoma in situ of breast and genitourinary system 233.0 Breast Excludes: skin of breast (232.5) ICD-9/Ch02.TXT - pg. 43 233.1 Cervix uteri 233.2 Other and unspecified parts of uterus 233.3 Other and unspecified female genital organs 233.4 Prostate 233.5 Penis 233.6 Other and unspecified male genital organs 233.7 Bladder 233.9 Other and unspecified urinary organs 234 Carcinoma in situ of other and unspecified sites 234.0 Eye Excludes: eyelid (skin) (232.1) 234.8 Other specified sites Endocrine gland [any] 234.9 Site unspecified Carcinoma in situ NOS NEOPLASMS OF UNCERTAIN BEHAVIOR (235-238) Note: Categories 235-238 classify by site certain histo-morphologically well-defined neoplasms the subsequent behavior of which cannot be predicted from the present appearance. 235 Neoplasm of uncertain behavior of digestive and respiratory systems 235.0 Major salivary glands Gland: parotid sublingual submandibular 235.1 Lip, oral cavity, and pharynx Gingiva Nasopharynx Hypopharynx Oropharynx Mouth Tongue ICD-9/Ch02.TXT - pg. 44 Excludes: aryepiglottic fold or interarytenoid fold, laryngeal aspect (235.6) epiglottis: NOS (235.6) suprahyoid portion (235.6) skin of lip (238.2) 235.2 Stomach, intestines, and rectum 235.3 Liver and biliary passages Ampulla of Vater Gallbladder Bile ducts [any] Liver 235.4 Retroperitoneum and peritoneum 235.5 Other and unspecified digestive organs Anal: canal sphincter Anus NOS Esophagus Pancreas Excludes: anus: margin (238.2) skin (238.2) perianal skin (238.2) 235.6 Larynx Excludes: aryepiglottic fold or interarytenoid fold: NOS (235.1) hypopharyngeal aspect (235.1) marginal zone (235.1) 235.7 Trachea, bronchus, and lung 235.8 Pleura, thymus, and mediastinum 235.9 Other and unspecified respiratory organs Accessory sinuses Nasal cavities Middle ear Respiratory organ NOS Excludes: ear (external) (skin) (238.2) nose (238.8) skin (238.2) 236 Neoplasm of uncertain behavior of genitourinary organs 236.0 Uterus ICD-9/Ch02.TXT - pg. 45 236.1 Placenta Chorioadenoma (destruens) Malignant hydatid(iform) mole 236.2 Ovary 236.3 Other and unspecified female genital organs 236.4 Testis 236.5 Prostate 236.6 Other and unspecified male genital organs 236.7 Bladder 236.9 Other and unspecified urinary organs Kidney Urethra Ureter 237 Neoplasm of uncertain behavior of endocrine glands and nervous system 237.0 Pituitary gland and craniopharyngeal duct 237.1 Pineal gland 237.2 Suprarenal gland Adrenal gland 237.3 Paraganglia 237.4 Other and unspecified endocrine glands Parathyroid gland Thyroid gland 237.5 Brain and spinal cord 237.6 Meninges Meninges: NOS cerebral spinal 237.7 Neurofibromatosis von Recklinghausen's disease 237.9 Other and unspecified parts of nervous system Cranial nerves ICD-9/Ch02.TXT - pg. 46 238 Neoplasm of uncertain behavior of other and unspecified sites and tissues 238.0 Bone and articular cartilage Excludes: cartilage: ear (238.1) eyelid (238.1) larynx (235.6) nose (235.9) synovia (238.1) 238.1 Connective and other soft tissue Excludes: cartilage (of): articular (238.0) larynx (235.6) nose (235.9) connective tissue of breast (238.3) 238.2 Skin Excludes: anus NOS (235.5) skin of genital organs (236.3, 236.6) vermilion border of lip (235.1) 238.3 Breast Excludes: skin of breast (238.2) 238.4 Polycythemia vera 238.5 Histiocytic and mast cells Mast cell tumor NOS Mastocytoma NOS 238.6 Plasma cells Plasmacytoma NOS Solitary myeloma 238.7 Other lymphatic and hematopoietic tissues Disease: lymphoproliferative (chronic) NOS myeloproliferative (chronic) NOS Idiopathic thrombocythemia Megakaryocytic myelosclerosis Myelosclerosis with myeloid metaplasia Panmyelosis (acute) Excludes: myelofibrosis (298.8) myelosclerosis NOS (289.8) myelosis: ICD-9/Ch02.TXT - pg. 47 NOS (205.9) megakaryocytic (207.2) 238.8 Other specified sites Eye Heart Excludes: eyelid (skin) (238.2) cartilage (238.1) 238.9 Site unspecified NEOPLASMS OF UNSPECIFIED NATURE (239) Note: Category 239 classifies by site neoplasms of unspecified morphology and behavior. 239 Neoplasms of unspecified nature Includes: "growth" NOS neoplasm NOS new growth NOS tumor NOS 239.0 Digestive system Excludes: anus: margin (239.2) skin (239.2) perianal skin (239.2) 239.1 Respiratory system 239.2 Bone, soft tissue, and skin Excludes: anal canal (239.0) anus NOS (239.0) cartilage: larynx (239.1) nose (239.1) connective tissue of breast (239.3) skin of genital organs (239.5) vermilion border of lip (239.8) 239.3 Breast Excludes: skin of breast (239.2) 239.4 Bladder 239.5 Other genitourinary organs ICD-9/Ch02.TXT - pg. 48 239.6 Brain Excludes: cerebral meninges (239.7) cranial nerves (239.7) 239.7 Endocrine glands and other parts of nervous system Excludes: peripheral, sympathetic, and parasympathetic nerves and ganglia (239.2) 239.8 Other specified sites Excludes: eyelid (skin) (239.2) cartilage (239.2) great vessels (239.2) optic nerve (239.7) 239.9 Site unspecified ICD-9/Ch02.TXT - pg. 49