MRI and CT Scans of the Head and Neck

Transcription

1 MRI and CT Scans of the Head and Neck Noridian Healthcare Solutions, LLC Please Note: This is a Proposed LCD. Proposed LCDs are works in progress and not necessarily a reflection of the current policies or practices. Proposed LCDs in an approval status display on the CMS MCD for public review. Contractor Information Contractor Name Noridian Healthcare Solutions, LLC Contract Number Contract Type A and B MAC Associated Contract Numbers Proposed LCD Information (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC, (A and B MAC J - F) Noridian Healthcare Solutions, LLC 1

2 Source LCD ID L35175 Proposed LCD DL35175 ID Proposed LCD 13 Version Proposed LCD MRI and CT Scans of the Head and Neck Title CPT only copyright American Medical Association. All rights reserved. AMA CPT ADA CDT AHA NUBC Copyright Statements CDT only copyright 2016 American Dental Association. All rights reserved. UB-04 Manual. OFFICIAL UB-04 DATA SPECIFICATIONS MANUAL, 2014, is copyrighted by American Hospital Association ("AHA"), Chicago, Illinois. No portion of OFFICIAL UB-04 MANUAL may be reproduced, sorted in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior express, written consent of AHA. Health Forum reserves the right to change the copyright notice from time to time upon written notice to Company. Title XVIII of the Social Security Act, Section 1862(a)(7) excludes routine physical examinations. This provision excludes screening examinations. Title XVIII of the Social Security Act, Section 1862(a)(1)(A) allows coverage and payment for only those services that are considered reasonable and necessary. CMS National Coverage Policy Title XVIII of the Social Security Act, Section 1833(e) prohibits Medicare payment for any claim, which lacks the necessary information to process the claim. Title XVIII of the Social Security Act, Section 1862(a)(1)(D) prohibits Medicare payment for services and items that are experimental or investigational. CMS publication 100-3, Medicare National Coverage Determinations, Sections Computerized Tomography, and Magnetic Resonance Imaging. Denies coverage of MRI for: 1. Measurement of blood flow and spectroscopy; 2. Imaging of cortical bone and calcification; 2

3 3. Procedures involving spatial resolution of bone or calcification CMS publication Medicare Claims Processing Manual Chapter 13. Jurisdiction Arizona Super MAC J - F Jurisdiction Coverage Guidance Note: Providers should seek information related to National Coverage Determinations (NCD) and other Centers for Medicare & Medicaid Services (CMS) instructions in CMS Manuals. This LCD only pertains to the contractor's discretionary coverage related to this service. This policy addresses standard CT and MR imaging. Magnetic Resonance Angiography (MRA) is not addressed in this policy. Coverage Indications, Limitations and/or Medical Necessity Computerized Tomography (CT) Computerized tomography (CT scanning) uses the attenuation of an x-ray beam by an object in its path to create cross-sectional images. As x-rays pass through planes of the body, the photons are detected and recorded as they exit from different angles. Computers process the signals to produce a cross-sectional view of the body. The signal data may be subjected to a variety of post-acquisitional processing algorithms to obtain a multiplanar view of the anatomy. The use of the CT scan must be found medically appropriate considering the patient s symptoms and preliminary diagnosis. A. A CT scan is considered reasonable and necessary for the patient when the diagnostic exam is medically appropriate given the patient's symptoms and preliminary (or provisional) diagnosis. B. CT scans (as opposed to MRI evaluations) are used effectively in the following situations or conditions: 1. Patients who are not suitable candidates for MRI evaluation: 3

4 a. Because of a pacemaker or intracranial metallic objects b. Because of extreme obesity c. Because of an inability to lie still 2. Patients whose condition requires the visualization of fine bone detail or calcification 3. Patients with the following conditions a. Acute CNS Hemorrhage b. Strokes or encephalomalacia c. New onset seizures, particularly if a focal component is present (contrast agent is appropriate for these patients) d. Meningiomas or CNS lesions large enough to cause increased intracranial pressure (CT scan is useful to determine gross margins between tumor and edematous brain) C. There is no general rule that requires other diagnostic tests to be tried before CT scanning is used. However, in individual cases it may be 4

5 determined that use of a CT scan as the initial diagnostic test was not reasonable and necessary because it was not supported by the patient s symptoms or complaints as stated on the claim. D. CT imaging has not been useful in general for the evaluation of headache or dizziness and should be reserved for the patient whose presentation indicates a focal problem or who has experienced a significant change in symptomatology. E. A CT scan for the diagnosis of headache (ICD-10 code G44.1) can be allowed for the following: 1. After a head injury to rule out intracranial bleeding 2. Headache unusual in duration (greater than two weeks) not responding to medical therapy, to rule out the possibility of a tumor 3. A headache characterized by sudden onset and severity to rule out the possibility of an aneurysm, bleeding and/or arteriovenous malformation F. A CT Scan may be ordered without contrast, with contrast, or without contrast followed by contrast. Contrast administration is not without risk to the patient, and for some conditions, adds little or no benefit to the patient. The general indications for use of contrast CT scanning (as opposed to non-contrast scanning) are to: 1. Assess perfusion (e.g. CVA) 5

6 2. Characterize a specific lesion 3. Detect defects in blood/brain barrier (e.g. infarct, tumor, infection, vasculitis) 4. Detect neovascularity (tumor), and 5. For staging of known lung cancer, breast cancer, and lymphomas likely to metastasize early to the brain G. Intravenous contrast generally adds no information to CT scans done secondary to head trauma. Additional symptoms suggesting a possible intracranial bleed may justify the use of contrast. These symptoms should be documented in the medical record, and if appropriate, included in the diagnostic codes listed on the claim. H. More than one contrast CT scan per episode of illness adds no information with the following exceptions: 1. CVA 2. Non-traumatic hemorrhage 3. TIA 4. Post-operative scan for residual tumor 6

7 5. Known brain tumor/metastases with a change in mental status Magnetic Resonance Imaging (MRI) Magnetic Resonance Imaging (MRI) is a non-invasive diagnostic scanning technique that employs a powerful and highly uniform static magnetic field, rather than ionizing radiation, to produce images. Fluctuations in the strength of the magnetic field alter the motion and relaxation times of hydrogen molecules, which are related to the density of molecules and reflect the physicochemical properties of the tissues. Reconstructed images can be displayed in multiple planes to facilitate analysis. See national noncoverage in CMS section above. Coverage is limited to those CT and MRI machines that have received premarket approval by the FDA. Such units must be operated within the parameters specified by the approval. Inconclusive findings on a CT scan may warrant a MRI study and, conversely, findings of a MRI study may be further clarified (under certain circumstances) with a subsequent CT scan. The information provided by the two modalities may be complementary. Cancer Staging. Clinicians commonly use CT and MRI of the brain when metastatic involvement is suspected. Non-covered indications: esophagus, oropharynx, and prostate, and nonmelanoma skin cancer in the absence of symptoms of brain involvement. Certain tumors almost never metastasize to the brain parenchyma. These include carcinomas of the esophagus, oropharynx, and prostate, and nonmelanoma skin cancers. (DeVita, Chapter 52.1) Accordingly, the related diagnoses found in the following diagnosis code list do not justify brain scans for staging purposes unless a patient has signs or symptoms suggesting brain involvement. Covered: In contrast, for those malignancies that commonly metastasize to the brain, staging in the absence of neurological findings may be appropriate. Payment will be allowed for reasonable and necessary scans of different areas of the body that are performed on the same day and are not subject to this policy. Proposed Process Information 7

8 Synopsis of Changes Changes Removed multiple ICD-10-CM codes that were unspecified and unrelated to the head and neck, Titled renamed to MRI and CT Scans of the Head & Neck, updated the CT Scans indications and added appropriate 7th characters to multiple ICD-10-CM codes. Fields Changed Coverage Indications, Limitations and/or Medical Necessity ICD-10 Codes that Support Medical Necessity Diagnostic evaluation of the head and neck (head/neck scans) performed by computerized tomography (CT) scanners is covered when the documentation supports that the scan is reasonable and necessary. Accurate coding information must be provided with claims to differentiate CT and/or MRI scans from other radiology services and to make coverage determinations. Associated Information Sufficient documentation such as, history and physical notes, laboratory results, signs and symptoms of the disease to warrant the diagnostic test and to support the claim of reasonable and necessary must be included in the medical records. This information must be available to Medicare upon request. The HCPCS/CPT code(s) may be subject to Correct Coding Initiative (CCI) edits in addition to guidance in this LCD. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare. Whichever guidance is more restrictive should be adhered to. 1. Medicare Consultants Sources of Information and Basis for Decision 2. Other contractor's policies 3. DeVita, et al, eds, Cancer, Principles and Practice of Oncology, 6th edition, Philadelphia, Lippincott-Raven,

9 Open Meetings Part B MAC Contractor Advisory Committee (CAC) Meetings Meeting Date 06/01/2017 Meeting Information Noridian Healthcare Solutions Room W nd Street S Fargo, ND State Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming Meeting Date Meeting Information State 06/29/2017 Anchorage Alaska 06/20/2017 Phoenix Arizona 06/21/2017 Boise Idaho Teleconference and in person at Wyoming 06/14/2017 Medical Society - Cheyenne Montana 06/07/2017 Fargo North Dakota 06/24/2017 Portland Oregon 06/08/2017 Sioux Falls South Dakota 06/22/2017 Salt Lake City Utah 06/20/2017 Renton Washington Teleconference and in person at Wyoming 06/14/2017 Wyoming Medical Society-Cheyenne Comment Period 06/01/2017 Start Date Comment Period 08/14/2017 End Date Released to Final Not yet released. LCD Date Reason(s) for Creation of Uniform LCDs Within a MAC Jurisdiction Proposed LCD Proposed LCD Contact Coding Information Noridian Healthcare Solutions, LLC JF Part B Contractor Medical Director(s) Attention: Draft LCD Comments PO Box 6781 Fargo, North Dakota policydraft@noridian.com 9

10 Bill Type Codes Revenue Codes CPT/HCPCS Codes 012x 013x 022x 023x 085x 032X 035X 040X 061X Hospital Inpatient (Medicare Part B only) Hospital Outpatient Skilled Nursing - Inpatient (Medicare Part B only) Skilled Nursing - Outpatient Critical Access Hospital Radiology - Diagnostic - General Classification CT Scan - General Classification Other Imaging Services - General Classification Magnetic Resonance Technology (MRT) - General Classification Group 1: Paragraph CT Scans Group 1: Codes Ct head/brain w/o dye Ct head/brain w/dye Ct head/brain w/o & w/dye Ct orbit/ear/fossa w/o dye Ct orbit/ear/fossa w/dye Ct orbit/ear/fossa w/o&w/dye Ct maxillofacial w/o dye Ct maxillofacial w/dye Ct maxillofacial w/o & w/dye Ct soft tissue neck w/o dye Ct soft tissue neck w/dye Ct sft tsue nck w/o & w/dye Ct neck spine w/o dye Ct neck spine w/dye Ct neck spine w/o & w/dye Group 2: Paragraph MRI Scans Group 2: Codes Magnetic image jaw joint Mri orbit/face/neck w/o dye Mri orbit/face/neck w/dye Mri orbt/fac/nck w/o &w/dye Mri brain stem w/o dye Mri brain stem w/dye Mri brain stem w/o & w/dye 10

11 Does the CPT 30% Coding Rule Yes Apply? ICD-10 Codes that Support Medical Necessity Note: Performance is optimized by using code ranges Mri brain w/o dye Mri brain w/dye Mri brain w/o & w/dye Mri neck spine w/o dye Mri neck spine w/dye Mri neck spine w/o & w/dye Group 1: Paragraph The following list of ICD-10-CM codes represents diagnoses that, alone or together, support the medical necessity of either MRIs or CTs. These diagnoses must be supported by appropriate documentation of medical necessity in the medical record. These are the only covered diagnoses: Group 1: Codes A02.21 Salmonella meningitis A06.6 Amebic brain abscess A17.0 Tuberculous meningitis A17.1 Meningeal tuberculoma A17.81* Tuberculoma of brain and spinal cord A17.82* Tuberculous meningoencephalitis A17.83* A17.89* Tuberculous neuritis Other tuberculosis of nervous system A18.01 Tuberculosis of spine A18.03* Tuberculosis of other bones A18.51 Tuberculous episcleritis A18.52 Tuberculous keratitis A18.53 Tuberculous chorioretinitis A18.54 Tuberculous iridocyclitis A18.59 Other tuberculosis of eye A18.6 Tuberculosis of (inner) (middle) ear A27.81 Aseptic meningitis in leptospirosis A32.11 Listerial meningitis A32.12 Listerial meningoencephalitis A32.7 Listerial sepsis A32.81 Oculoglandular listeriosis A32.89* Other forms of listeriosis A39.0 Meningococcal meningitis A39.1 Waterhouse-Friderichsen syndrome 11

12 A39.2 Acute meningococcemia A39.3 Chronic meningococcemia A39.81 Meningococcal encephalitis A39.82 Meningococcal retrobulbar neuritis A39.83* Meningococcal arthritis A39.84* Postmeningococcal arthritis A39.89 Other meningococcal infections A41.9 Sepsis, unspecified organism A50.32 Late congenital syphilitic chorioretinitis A50.39 Other late congenital syphilitic oculopathy A50.40 Late congenital neurosyphilis, unspecified A50.41 Late congenital syphilitic meningitis A50.42 Late congenital syphilitic encephalitis A50.43 Late congenital syphilitic polyneuropathy A50.44 Late congenital syphilitic optic nerve atrophy A50.45 Juvenile general paresis A50.49 Other late congenital neurosyphilis A50.59 Other late congenital syphilis, symptomatic A51.41 Secondary syphilitic meningitis A52.11 Tabes dorsalis A52.12 Other cerebrospinal syphilis A52.13 Late syphilitic meningitis A52.14 Late syphilitic encephalitis A52.15 Late syphilitic neuropathy A52.19 Other symptomatic neurosyphilis A54.81 Gonococcal meningitis A80.0 Acute paralytic poliomyelitis, vaccine-associated A80.1 Acute paralytic poliomyelitis, wild virus, imported A80.2 Acute paralytic poliomyelitis, wild virus, indigenous A80.39 Other acute paralytic poliomyelitis A80.4 Acute nonparalytic poliomyelitis A81.00 Creutzfeldt-Jakob disease, unspecified A81.01 Variant Creutzfeldt-Jakob disease A81.09 Other Creutzfeldt-Jakob disease A81.1 Subacute sclerosing panencephalitis A81.2 Progressive multifocal leukoencephalopathy A81.81 Kuru A81.82 Gerstmann-Straussler-Scheinker syndrome 12

13 A81.83 Fatal familial insomnia A81.89 Other atypical virus infections of central nervous system A81.9 Atypical virus infection of central nervous system, unspecified A82.0 Sylvatic rabies A82.1 Urban rabies A83.0 Japanese encephalitis A83.1 Western equine encephalitis A83.2 Eastern equine encephalitis A83.3 St Louis encephalitis A83.4 Australian encephalitis A83.5 California encephalitis A83.6 Rocio virus disease A83.8 Other mosquito-borne viral encephalitis A84.0 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] A84.1 Central European tick-borne encephalitis A84.8 Other tick-borne viral encephalitis A84.9 Tick-borne viral encephalitis, unspecified A85.0 Enteroviral encephalitis A85.1 Adenoviral encephalitis A85.2 Arthropod-borne viral encephalitis, unspecified A85.8 Other specified viral encephalitis A87.0 Enteroviral meningitis A87.1 Adenoviral meningitis A87.2 Lymphocytic choriomeningitis A87.8 Other viral meningitis A88.1 Epidemic vertigo A88.8 Other specified viral infections of central nervous system A92.2 Venezuelan equine fever A92.31 West Nile virus infection with encephalitis A92.32* West Nile virus infection with other neurologic manifestation A92.39 West Nile virus infection with other complications B00.3 Herpesviral meningitis B00.4 Herpesviral encephalitis B00.7 Disseminated herpesviral disease B00.82 Herpes simplex myelitis 13

14 B01.0 Varicella meningitis B01.11 Varicella encephalitis and encephalomyelitis B01.12* Varicella myelitis B02.0 Zoster encephalitis B02.1 Zoster meningitis B02.21 Postherpetic geniculate ganglionitis B02.22 Postherpetic trigeminal neuralgia B02.23 Postherpetic polyneuropathy B02.24 Postherpetic myelitis B02.29 Other postherpetic nervous system involvement B02.30 Zoster ocular disease, unspecified B02.31 Zoster conjunctivitis B02.32 Zoster iridocyclitis B02.33 Zoster keratitis B02.34 Zoster scleritis B02.39 Other herpes zoster eye disease B02.7 Disseminated zoster B02.8 Zoster with other complications B05.0 Measles complicated by encephalitis B06.00 Rubella with neurological complication, unspecified B06.01 Rubella encephalitis B06.02 Rubella meningitis B06.09 Other neurological complications of rubella B10.01 Human herpesvirus 6 encephalitis B10.09 Other human herpesvirus encephalitis B20 Human immunodeficiency virus [HIV] disease B25.8 Other cytomegaloviral diseases B26.1 Mumps meningitis B26.2 Mumps encephalitis B26.84 Mumps polyneuropathy B37.5 Candidal meningitis B37.7 Candidal sepsis B38.4 Coccidioidomycosis meningitis B39.9 Histoplasmosis, unspecified B42.7 Disseminated sporotrichosis B42.81 Cerebral sporotrichosis B42.89 Other forms of sporotrichosis B44.7 Disseminated aspergillosis 14

15 B44.89 Other forms of aspergillosis B45.1 Cerebral cryptococcosis B45.7 Disseminated cryptococcosis B45.8 Other forms of cryptococcosis B48.4 Penicillosis B48.8 Other specified mycoses B56.9 African trypanosomiasis, unspecified B58.2 Toxoplasma meningoencephalitis B60.11 Meningoencephalitis due to Acanthamoeba (culbertsoni) B65.0 Schistosomiasis due to Schistosoma haematobium [urinary schistosomiasis] B65.1 Schistosomiasis due to Schistosoma mansoni [intestinal schistosomiasis] B65.2 Schistosomiasis due to Schistosoma japonicum B65.3 Cercarial dermatitis B65.8 Other schistosomiasis B66.4 Paragonimiasis B67.32 Echinococcus granulosus infection, multiple sites B67.39 Echinococcus granulosus infection, other sites B69.0 Cysticercosis of central nervous system B69.1 Cysticercosis of eye B69.81 Myositis in cysticercosis B69.89 Cysticercosis of other sites B75 Trichinellosis B90.0 Sequelae of central nervous system tuberculosis B91 Sequelae of poliomyelitis B94.1 Sequelae of viral encephalitis C00.0 Malignant neoplasm of external upper lip C00.1 Malignant neoplasm of external lower lip C00.2 Malignant neoplasm of external lip, unspecified C00.3 Malignant neoplasm of upper lip, inner aspect C00.4 Malignant neoplasm of lower lip, inner aspect C00.5 Malignant neoplasm of lip, unspecified, inner aspect C00.6 Malignant neoplasm of commissure of lip, unspecified C00.8 Malignant neoplasm of overlapping sites of lip C01 Malignant neoplasm of base of tongue C02.0 Malignant neoplasm of dorsal surface of tongue C02.1 Malignant neoplasm of border of tongue 15

16 C02.2 Malignant neoplasm of ventral surface of tongue C02.3 Malignant neoplasm of anterior two-thirds of tongue, part unspecified C02.4 Malignant neoplasm of lingual tonsil C02.8 Malignant neoplasm of overlapping sites of tongue C03.0 Malignant neoplasm of upper gum C03.1 Malignant neoplasm of lower gum C04.0 Malignant neoplasm of anterior floor of mouth C04.1 Malignant neoplasm of lateral floor of mouth C04.8 Malignant neoplasm of overlapping sites of floor of mouth C05.0 Malignant neoplasm of hard palate C05.1 Malignant neoplasm of soft palate C05.2 Malignant neoplasm of uvula C05.8 Malignant neoplasm of overlapping sites of palate C06.0 Malignant neoplasm of cheek mucosa C06.1 Malignant neoplasm of vestibule of mouth C06.2 Malignant neoplasm of retromolar area C06.89 Malignant neoplasm of overlapping sites of other parts of mouth C07 Malignant neoplasm of parotid gland C08.0 Malignant neoplasm of submandibular gland C08.1 Malignant neoplasm of sublingual gland C08.9 Malignant neoplasm of major salivary gland, unspecified C09.0 Malignant neoplasm of tonsillar fossa C09.1 Malignant neoplasm of tonsillar pillar (anterior) (posterior) C09.8 Malignant neoplasm of overlapping sites of tonsil C10.0 Malignant neoplasm of vallecula C10.1 Malignant neoplasm of anterior surface of epiglottis C10.2 Malignant neoplasm of lateral wall of oropharynx C10.3 Malignant neoplasm of posterior wall of oropharynx C10.4 Malignant neoplasm of branchial cleft C10.8 Malignant neoplasm of overlapping sites of oropharynx C11.0 Malignant neoplasm of superior wall of nasopharynx C11.1 Malignant neoplasm of posterior wall of nasopharynx C11.2 Malignant neoplasm of lateral wall of nasopharynx C11.3 Malignant neoplasm of anterior wall of nasopharynx C11.8 Malignant neoplasm of overlapping sites of nasopharynx C12 Malignant neoplasm of pyriform sinus 16

17 C13.0 Malignant neoplasm of postcricoid region C13.1 Malignant neoplasm of aryepiglottic fold, hypopharyngeal aspect C13.2 Malignant neoplasm of posterior wall of hypopharynx C13.8 Malignant neoplasm of overlapping sites of hypopharynx C14.0 Malignant neoplasm of pharynx, unspecified C14.2 Malignant neoplasm of Waldeyer's ring C14.8 Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx C16.0 Malignant neoplasm of cardia C16.1 Malignant neoplasm of fundus of stomach C16.2 Malignant neoplasm of body of stomach C16.3 Malignant neoplasm of pyloric antrum C16.4 Malignant neoplasm of pylorus C16.8 Malignant neoplasm of overlapping sites of stomach C17.0 Malignant neoplasm of duodenum C17.1 Malignant neoplasm of jejunum C17.2 Malignant neoplasm of ileum C17.3 Meckel's diverticulum, malignant C17.8 Malignant neoplasm of overlapping sites of small intestine C18.0 Malignant neoplasm of cecum C18.1 Malignant neoplasm of appendix C18.2 Malignant neoplasm of ascending colon C18.3 Malignant neoplasm of hepatic flexure C18.4 Malignant neoplasm of transverse colon C18.5 Malignant neoplasm of splenic flexure C18.6 Malignant neoplasm of descending colon C18.7 Malignant neoplasm of sigmoid colon C18.8 Malignant neoplasm of overlapping sites of colon C19 Malignant neoplasm of rectosigmoid junction C20 Malignant neoplasm of rectum C21.1 Malignant neoplasm of anal canal C21.2 Malignant neoplasm of cloacogenic zone C21.8 Malignant neoplasm of overlapping sites of rectum, anus and anal canal C22.0 Liver cell carcinoma C22.1 Intrahepatic bile duct carcinoma C22.2 Hepatoblastoma 17

18 C22.3 Angiosarcoma of liver C22.4 Other sarcomas of liver C22.7 Other specified carcinomas of liver C22.9 Malignant neoplasm of liver, not specified as primary or secondary C30.0 Malignant neoplasm of nasal cavity C30.1 Malignant neoplasm of middle ear C31.0 Malignant neoplasm of maxillary sinus C31.1 Malignant neoplasm of ethmoidal sinus C31.2 Malignant neoplasm of frontal sinus C31.3 Malignant neoplasm of sphenoid sinus C31.8 Malignant neoplasm of overlapping sites of accessory sinuses C32.0 Malignant neoplasm of glottis C32.1 Malignant neoplasm of supraglottis C32.2 Malignant neoplasm of subglottis C32.3 Malignant neoplasm of laryngeal cartilage C32.8 Malignant neoplasm of overlapping sites of larynx C33 Malignant neoplasm of trachea C34.01 Malignant neoplasm of right main bronchus C34.02 Malignant neoplasm of left main bronchus C34.11 Malignant neoplasm of upper lobe, right bronchus or lung C34.12 Malignant neoplasm of upper lobe, left bronchus or lung C34.2 Malignant neoplasm of middle lobe, bronchus or lung C34.31 Malignant neoplasm of lower lobe, right bronchus or lung C34.32 Malignant neoplasm of lower lobe, left bronchus or lung C34.81 Malignant neoplasm of overlapping sites of right bronchus and lung C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung C37 Malignant neoplasm of thymus C38.0 Malignant neoplasm of heart C38.1 Malignant neoplasm of anterior mediastinum C38.2 Malignant neoplasm of posterior mediastinum C38.4 Malignant neoplasm of pleura C38.8 Malignant neoplasm of overlapping sites of heart, mediastinum and pleura C40.01 Malignant neoplasm of scapula and long bones of right upper limb 18

19 C40.02 Malignant neoplasm of scapula and long bones of left upper limb C40.10 Malignant neoplasm of short bones of unspecified upper limb C40.11 Malignant neoplasm of short bones of right upper limb C40.12 Malignant neoplasm of short bones of left upper limb C40.21 Malignant neoplasm of long bones of right lower limb C40.22 Malignant neoplasm of long bones of left lower limb C40.31 Malignant neoplasm of short bones of right lower limb C40.32 Malignant neoplasm of short bones of left lower limb C40.81 Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb C40.82 Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb C40.91 Malignant neoplasm of unspecified bones and articular cartilage of right limb C40.92 Malignant neoplasm of unspecified bones and articular cartilage of left limb C41.0 Malignant neoplasm of bones of skull and face C41.1 Malignant neoplasm of mandible C41.2 Malignant neoplasm of vertebral column C41.3 Malignant neoplasm of ribs, sternum and clavicle C41.4 Malignant neoplasm of pelvic bones, sacrum and coccyx C43.0 Malignant melanoma of lip C43.11 Malignant melanoma of right eyelid, including canthus C43.12 Malignant melanoma of left eyelid, including canthus C43.21 Malignant melanoma of right ear and external auricular canal C43.22 Malignant melanoma of left ear and external auricular canal C43.31 Malignant melanoma of nose C43.39 Malignant melanoma of other parts of face C43.4 Malignant melanoma of scalp and neck C43.51 Malignant melanoma of anal skin C43.52 Malignant melanoma of skin of breast C43.59 Malignant melanoma of other part of trunk C43.61 Malignant melanoma of right upper limb, including shoulder C43.62 Malignant melanoma of left upper limb, including shoulder C43.71 Malignant melanoma of right lower limb, including hip 19

20 C43.72 Malignant melanoma of left lower limb, including hip C43.8 Malignant melanoma of overlapping sites of skin C4A.0 Merkel cell carcinoma of lip C4A.11 Merkel cell carcinoma of right eyelid, including canthus C4A.12 Merkel cell carcinoma of left eyelid, including canthus C4A.21 Merkel cell carcinoma of right ear and external auricular canal C4A.22 Merkel cell carcinoma of left ear and external auricular canal C4A.31 Merkel cell carcinoma of nose C4A.39 Merkel cell carcinoma of other parts of face C4A.4 Merkel cell carcinoma of scalp and neck C44.01 Basal cell carcinoma of skin of lip C44.02 Squamous cell carcinoma of skin of lip C44.09 Other specified malignant neoplasm of skin of lip C Basal cell carcinoma of skin of right eyelid, including canthus C Basal cell carcinoma of skin of left eyelid, including canthus C Squamous cell carcinoma of skin of right eyelid, including canthus C Squamous cell carcinoma of skin of left eyelid, including canthus C Other specified malignant neoplasm of skin of right eyelid, including canthus C Other specified malignant neoplasm of skin of left eyelid, including canthus C Basal cell carcinoma of skin of right ear and external auricular canal C Basal cell carcinoma of skin of left ear and external auricular canal C Squamous cell carcinoma of skin of right ear and external auricular canal C Squamous cell carcinoma of skin of left ear and external auricular canal C Other specified malignant neoplasm of skin of right ear and external auricular canal C Other specified malignant neoplasm of skin of left ear and external auricular canal C Basal cell carcinoma of skin of nose 20

21 C Basal cell carcinoma of skin of other parts of face C Squamous cell carcinoma of skin of nose C Squamous cell carcinoma of skin of other parts of face C Other specified malignant neoplasm of skin of nose C Other specified malignant neoplasm of skin of other parts of face C44.41 Basal cell carcinoma of skin of scalp and neck C44.42 Squamous cell carcinoma of skin of scalp and neck C44.49 Other specified malignant neoplasm of skin of scalp and neck C44.82 Squamous cell carcinoma of overlapping sites of skin C44.89 Other specified malignant neoplasm of overlapping sites of skin C44.92 Squamous cell carcinoma of skin, unspecified C44.99 Other specified malignant neoplasm of skin, unspecified C45.0 Mesothelioma of pleura C45.1 Mesothelioma of peritoneum C45.2 Mesothelioma of pericardium C45.7 Mesothelioma of other sites C46.0 Kaposi's sarcoma of skin C46.1 Kaposi's sarcoma of soft tissue C46.2 Kaposi's sarcoma of palate C46.3 Kaposi's sarcoma of lymph nodes C46.4 Kaposi's sarcoma of gastrointestinal sites C46.7 Kaposi's sarcoma of other sites C47.0 Malignant neoplasm of peripheral nerves of head, face and neck C47.11 Malignant neoplasm of peripheral nerves of right upper limb, including shoulder C47.12 Malignant neoplasm of peripheral nerves of left upper limb, including shoulder C47.21 Malignant neoplasm of peripheral nerves of right lower limb, including hip C47.22 Malignant neoplasm of peripheral nerves of left lower limb, including hip C47.3 Malignant neoplasm of peripheral nerves of thorax C47.4 Malignant neoplasm of peripheral nerves of abdomen C47.5 Malignant neoplasm of peripheral nerves of pelvis C47.8 Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system 21

22 C48.0 Malignant neoplasm of retroperitoneum C48.1 Malignant neoplasm of specified parts of peritoneum C48.8 Malignant neoplasm of overlapping sites of retroperitoneum and peritoneum C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck C49.11 Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder C49.12 Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder C49.21 Malignant neoplasm of connective and soft tissue of right lower limb, including hip C49.22 Malignant neoplasm of connective and soft tissue of left lower limb, including hip C49.3 Malignant neoplasm of connective and soft tissue of thorax C49.4 Malignant neoplasm of connective and soft tissue of abdomen C49.5 Malignant neoplasm of connective and soft tissue of pelvis C49.8 Malignant neoplasm of overlapping sites of connective and soft tissue C Malignant neoplasm of nipple and areola, right female breast C Malignant neoplasm of nipple and areola, left female breast C Malignant neoplasm of nipple and areola, right male breast C Malignant neoplasm of nipple and areola, left male breast C Malignant neoplasm of central portion of right female breast C Malignant neoplasm of central portion of left female breast C Malignant neoplasm of central portion of right male breast C Malignant neoplasm of central portion of left male breast C Malignant neoplasm of upper-inner quadrant of right female breast C Malignant neoplasm of upper-inner quadrant of left female breast C Malignant neoplasm of upper-inner quadrant of right male breast C Malignant neoplasm of upper-inner quadrant of left male breast C Malignant neoplasm of lower-inner quadrant of right female breast 22

23 C Malignant neoplasm of lower-inner quadrant of left female breast C Malignant neoplasm of lower-inner quadrant of right male breast C Malignant neoplasm of lower-inner quadrant of left male breast C Malignant neoplasm of upper-outer quadrant of right female breast C Malignant neoplasm of upper-outer quadrant of left female breast C Malignant neoplasm of upper-outer quadrant of right male breast C Malignant neoplasm of upper-outer quadrant of left male breast C Malignant neoplasm of lower-outer quadrant of right female breast C Malignant neoplasm of lower-outer quadrant of left female breast C Malignant neoplasm of lower-outer quadrant of right male breast C Malignant neoplasm of lower-outer quadrant of left male breast C Malignant neoplasm of axillary tail of right female breast C Malignant neoplasm of axillary tail of left female breast C Malignant neoplasm of axillary tail of right male breast C Malignant neoplasm of axillary tail of left male breast C Malignant neoplasm of overlapping sites of right female breast C Malignant neoplasm of overlapping sites of left female breast C Malignant neoplasm of overlapping sites of right male breast C Malignant neoplasm of overlapping sites of left male breast C51.0 Malignant neoplasm of labium majus C51.1 Malignant neoplasm of labium minus C51.2 Malignant neoplasm of clitoris C51.8 Malignant neoplasm of overlapping sites of vulva C52 Malignant neoplasm of vagina C53.0 Malignant neoplasm of endocervix C53.1 Malignant neoplasm of exocervix 23

24 C53.8 Malignant neoplasm of overlapping sites of cervix uteri C54.0 Malignant neoplasm of isthmus uteri C54.1 Malignant neoplasm of endometrium C54.2 Malignant neoplasm of myometrium C54.3 Malignant neoplasm of fundus uteri C54.8 Malignant neoplasm of overlapping sites of corpus uteri C56.1 Malignant neoplasm of right ovary C56.2 Malignant neoplasm of left ovary C57.01 Malignant neoplasm of right fallopian tube C57.02 Malignant neoplasm of left fallopian tube C57.11 Malignant neoplasm of right broad ligament C57.12 Malignant neoplasm of left broad ligament C57.21 Malignant neoplasm of right round ligament C57.22 Malignant neoplasm of left round ligament C57.3 Malignant neoplasm of parametrium C57.7 Malignant neoplasm of other specified female genital organs C57.8 Malignant neoplasm of overlapping sites of female genital organs C58 Malignant neoplasm of placenta C60.0 Malignant neoplasm of prepuce C60.1 Malignant neoplasm of glans penis C60.2 Malignant neoplasm of body of penis C60.8 Malignant neoplasm of overlapping sites of penis C61 Malignant neoplasm of prostate C62.01 Malignant neoplasm of undescended right testis C62.02 Malignant neoplasm of undescended left testis C62.11 Malignant neoplasm of descended right testis C62.12 Malignant neoplasm of descended left testis C63.01 Malignant neoplasm of right epididymis C63.02 Malignant neoplasm of left epididymis C63.11 Malignant neoplasm of right spermatic cord C63.12 Malignant neoplasm of left spermatic cord C63.2 Malignant neoplasm of scrotum C63.7 Malignant neoplasm of other specified male genital organs C63.8 Malignant neoplasm of overlapping sites of male genital organs C64.1 Malignant neoplasm of right kidney, except renal pelvis 24

25 C64.2 Malignant neoplasm of left kidney, except renal pelvis C65.1 Malignant neoplasm of right renal pelvis C65.2 Malignant neoplasm of left renal pelvis C66.1 Malignant neoplasm of right ureter C66.2 Malignant neoplasm of left ureter C67.0 Malignant neoplasm of trigone of bladder C67.1 Malignant neoplasm of dome of bladder C67.2 Malignant neoplasm of lateral wall of bladder C67.3 Malignant neoplasm of anterior wall of bladder C67.4 Malignant neoplasm of posterior wall of bladder C67.5 Malignant neoplasm of bladder neck C67.6 Malignant neoplasm of ureteric orifice C67.7 Malignant neoplasm of urachus C67.8 Malignant neoplasm of overlapping sites of bladder C68.0 Malignant neoplasm of urethra C68.1 Malignant neoplasm of paraurethral glands C68.8 Malignant neoplasm of overlapping sites of urinary organs C69.01 Malignant neoplasm of right conjunctiva C69.02 Malignant neoplasm of left conjunctiva C69.11 Malignant neoplasm of right cornea C69.12 Malignant neoplasm of left cornea C69.21 Malignant neoplasm of right retina C69.22 Malignant neoplasm of left retina C69.31 Malignant neoplasm of right choroid C69.32 Malignant neoplasm of left choroid C69.41 Malignant neoplasm of right ciliary body C69.42 Malignant neoplasm of left ciliary body C69.51 Malignant neoplasm of right lacrimal gland and duct C69.52 Malignant neoplasm of left lacrimal gland and duct C69.61 Malignant neoplasm of right orbit C69.62 Malignant neoplasm of left orbit C69.81 Malignant neoplasm of overlapping sites of right eye and adnexa C69.82 Malignant neoplasm of overlapping sites of left eye and adnexa C69.91 Malignant neoplasm of unspecified site of right eye C69.92 Malignant neoplasm of unspecified site of left eye C70.0 Malignant neoplasm of cerebral meninges 25

26 C70.1 Malignant neoplasm of spinal meninges C71.0 Malignant neoplasm of cerebrum, except lobes and ventricles C71.1 Malignant neoplasm of frontal lobe C71.2 Malignant neoplasm of temporal lobe C71.3 Malignant neoplasm of parietal lobe C71.4 Malignant neoplasm of occipital lobe C71.5 Malignant neoplasm of cerebral ventricle C71.6 Malignant neoplasm of cerebellum C71.7 Malignant neoplasm of brain stem C71.8 Malignant neoplasm of overlapping sites of brain C72.0 Malignant neoplasm of spinal cord C72.21 Malignant neoplasm of right olfactory nerve C72.22 Malignant neoplasm of left olfactory nerve C72.31 Malignant neoplasm of right optic nerve C72.32 Malignant neoplasm of left optic nerve C72.41 Malignant neoplasm of right acoustic nerve C72.42 Malignant neoplasm of left acoustic nerve C72.59 Malignant neoplasm of other cranial nerves C73 Malignant neoplasm of thyroid gland C75.0 Malignant neoplasm of parathyroid gland C75.1 Malignant neoplasm of pituitary gland C75.2 Malignant neoplasm of craniopharyngeal duct C75.3 Malignant neoplasm of pineal gland C75.4 Malignant neoplasm of carotid body C75.5 Malignant neoplasm of aortic body and other paraganglia C7A.091 Malignant carcinoid tumor of the thymus C7A.098 Malignant carcinoid tumors of other sites C7A.1 Malignant poorly differentiated neuroendocrine tumors C7A.8 Other malignant neuroendocrine tumors C7B.09 Secondary carcinoid tumors of other sites C7B.8 Other secondary neuroendocrine tumors C76.0 Malignant neoplasm of head, face and neck C76.1 Malignant neoplasm of thorax C76.2 Malignant neoplasm of abdomen C76.3 Malignant neoplasm of pelvis C76.41 Malignant neoplasm of right upper limb C76.42 Malignant neoplasm of left upper limb 26

27 C76.51 Malignant neoplasm of right lower limb C76.52 Malignant neoplasm of left lower limb C76.8 Malignant neoplasm of other specified ill-defined sites C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck C77.9 Secondary and unspecified malignant neoplasm of lymph node, unspecified C79.31 Secondary malignant neoplasm of brain C79.32 Secondary malignant neoplasm of cerebral meninges C79.49* Secondary malignant neoplasm of other parts of nervous system C79.51 Secondary malignant neoplasm of bone C79.89 Secondary malignant neoplasm of other specified sites C81.01 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of head, face, and neck C81.02 Nodular lymphocyte predominant Hodgkin lymphoma, intrathoracic lymph nodes C81.08 Nodular lymphocyte predominant Hodgkin lymphoma, lymph nodes of multiple sites C81.09 Nodular lymphocyte predominant Hodgkin lymphoma, extranodal and solid organ sites C81.11 Nodular sclerosis Hodgkin lymphoma, lymph nodes of head, face, and neck C81.18 Nodular sclerosis Hodgkin lymphoma, lymph nodes of multiple sites C81.19 Nodular sclerosis Hodgkin lymphoma, extranodal and solid organ sites C81.21 Mixed cellularity Hodgkin lymphoma, lymph nodes of head, face, and neck C81.28 Mixed cellularity Hodgkin lymphoma, lymph nodes of multiple sites C81.29 Mixed cellularity Hodgkin lymphoma, extranodal and solid organ sites C81.31 Lymphocyte depleted Hodgkin lymphoma, lymph nodes of head, face, and neck C81.38 Lymphocyte depleted Hodgkin lymphoma, lymph nodes of multiple sites C81.39 Lymphocyte depleted Hodgkin lymphoma, extranodal and solid organ sites C81.41 Lymphocyte-rich Hodgkin lymphoma, lymph nodes of head, face, and neck 27

28 C81.48 Lymphocyte-rich Hodgkin lymphoma, lymph nodes of multiple sites C81.49 Lymphocyte-rich Hodgkin lymphoma, extranodal and solid organ sites C81.71 Other Hodgkin lymphoma, lymph nodes of head, face, and neck C81.78 Other Hodgkin lymphoma, lymph nodes of multiple sites C81.79 Other Hodgkin lymphoma, extranodal and solid organ sites C81.98 Hodgkin lymphoma, unspecified, lymph nodes of multiple sites C81.99 Hodgkin lymphoma, unspecified, extranodal and solid organ sites C82.01 Follicular lymphoma grade I, lymph nodes of head, face, and neck C82.08 Follicular lymphoma grade I, lymph nodes of multiple sites C82.09 Follicular lymphoma grade I, extranodal and solid organ sites C82.11 Follicular lymphoma grade II, lymph nodes of head, face, and neck C82.18 Follicular lymphoma grade II, lymph nodes of multiple sites C82.19 Follicular lymphoma grade II, extranodal and solid organ sites C82.21 Follicular lymphoma grade III, unspecified, lymph nodes of head, face, and neck C82.28 Follicular lymphoma grade III, unspecified, lymph nodes of multiple sites C82.29 Follicular lymphoma grade III, unspecified, extranodal and solid organ sites C82.31 Follicular lymphoma grade IIIa, lymph nodes of head, face, and neck C82.38 Follicular lymphoma grade IIIa, lymph nodes of multiple sites C82.39 Follicular lymphoma grade IIIa, extranodal and solid organ sites C82.41 Follicular lymphoma grade IIIb, lymph nodes of head, face, and neck C82.48 Follicular lymphoma grade IIIb, lymph nodes of multiple sites C82.49 Follicular lymphoma grade IIIb, extranodal and solid organ sites 28

29 C82.51 Diffuse follicle center lymphoma, lymph nodes of head, face, and neck C82.58 Diffuse follicle center lymphoma, lymph nodes of multiple sites C82.59 Diffuse follicle center lymphoma, extranodal and solid organ sites C82.61 Cutaneous follicle center lymphoma, lymph nodes of head, face, and neck C82.68 Cutaneous follicle center lymphoma, lymph nodes of multiple sites C82.69 Cutaneous follicle center lymphoma, extranodal and solid organ sites C82.81 Other types of follicular lymphoma, lymph nodes of head, face, and neck C82.88 Other types of follicular lymphoma, lymph nodes of multiple sites C82.89 Other types of follicular lymphoma, extranodal and solid organ sites C82.91 Follicular lymphoma, unspecified, lymph nodes of head, face, and neck C82.98 Follicular lymphoma, unspecified, lymph nodes of multiple sites C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites C83.01 Small cell B-cell lymphoma, lymph nodes of head, face, and neck C83.08 Small cell B-cell lymphoma, lymph nodes of multiple sites C83.09 Small cell B-cell lymphoma, extranodal and solid organ sites C83.11 Mantle cell lymphoma, lymph nodes of head, face, and neck C83.18 Mantle cell lymphoma, lymph nodes of multiple sites C83.19 Mantle cell lymphoma, extranodal and solid organ sites C83.31 Diffuse large B-cell lymphoma, lymph nodes of head, face, and neck C83.38 Diffuse large B-cell lymphoma, lymph nodes of multiple sites C83.39 Diffuse large B-cell lymphoma, extranodal and solid organ sites C83.51 Lymphoblastic (diffuse) lymphoma, lymph nodes of head, face, and neck 29

30 C83.58 Lymphoblastic (diffuse) lymphoma, lymph nodes of multiple sites C83.59 Lymphoblastic (diffuse) lymphoma, extranodal and solid organ sites C83.71 Burkitt lymphoma, lymph nodes of head, face, and neck C83.78 Burkitt lymphoma, lymph nodes of multiple sites C83.79 Burkitt lymphoma, extranodal and solid organ sites C83.81 Other non-follicular lymphoma, lymph nodes of head, face, and neck C83.88 Other non-follicular lymphoma, lymph nodes of multiple sites C83.89 Other non-follicular lymphoma, extranodal and solid organ sites C83.91 Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of head, face, and neck C83.97 Non-follicular (diffuse) lymphoma, unspecified, spleen C83.98 Non-follicular (diffuse) lymphoma, unspecified, lymph nodes of multiple sites C83.99 Non-follicular (diffuse) lymphoma, unspecified, extranodal and solid organ sites C84.01 Mycosis fungoides, lymph nodes of head, face, and neck C84.08 Mycosis fungoides, lymph nodes of multiple sites C84.09 Mycosis fungoides, extranodal and solid organ sites C84.11 Sezary disease, lymph nodes of head, face, and neck C84.18 Sezary disease, lymph nodes of multiple sites C84.19 Sezary disease, extranodal and solid organ sites C84.41 Peripheral T-cell lymphoma, not classified, lymph nodes of head, face, and neck C84.48 Peripheral T-cell lymphoma, not classified, lymph nodes of multiple sites C84.49 Peripheral T-cell lymphoma, not classified, extranodal and solid organ sites C84.61 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of head, face, and neck C84.68 Anaplastic large cell lymphoma, ALK-positive, lymph nodes of multiple sites C84.69 Anaplastic large cell lymphoma, ALK-positive, extranodal and solid organ sites C84.71 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of head, face, and neck 30

31 C84.78 C84.79 C84.A1 C84.A8 C84.A9 C84.Z1 C84.Z8 C84.Z9 C84.91 C84.98 C84.99 C85.11 C85.18 C85.19 C85.21 C85.28 C85.29 C85.81 C85.88 C85.89 C85.91 Anaplastic large cell lymphoma, ALK-negative, lymph nodes of multiple sites Anaplastic large cell lymphoma, ALK-negative, extranodal and solid organ sites Cutaneous T-cell lymphoma, unspecified lymph nodes of head, face, and neck Cutaneous T-cell lymphoma, unspecified, lymph nodes of multiple sites Cutaneous T-cell lymphoma, unspecified, extranodal and solid organ sites Other mature T/NK-cell lymphomas, lymph nodes of head, face, and neck Other mature T/NK-cell lymphomas, lymph nodes of multiple sites Other mature T/NK-cell lymphomas, extranodal and solid organ sites Mature T/NK-cell lymphomas, unspecified, lymph nodes of head, face, and neck Mature T/NK-cell lymphomas, unspecified, lymph nodes of multiple sites Mature T/NK-cell lymphomas, unspecified, extranodal and solid organ sites Unspecified B-cell lymphoma, lymph nodes of head, face, and neck Unspecified B-cell lymphoma, lymph nodes of multiple sites Unspecified B-cell lymphoma, extranodal and solid organ sites Mediastinal (thymic) large B-cell lymphoma, lymph nodes of head, face, and neck Mediastinal (thymic) large B-cell lymphoma, lymph nodes of multiple sites Mediastinal (thymic) large B-cell lymphoma, extranodal and solid organ sites Other specified types of non-hodgkin lymphoma, lymph nodes of head, face, and neck Other specified types of non-hodgkin lymphoma, lymph nodes of multiple sites Other specified types of non-hodgkin lymphoma, extranodal and solid organ sites Non-Hodgkin lymphoma, unspecified, lymph nodes of head, face, and neck 31

32 C85.98 Non-Hodgkin lymphoma, unspecified, lymph nodes of multiple sites C85.99 Non-Hodgkin lymphoma, unspecified, extranodal and solid organ sites C86.0 Extranodal NK/T-cell lymphoma, nasal type C86.4 Blastic NK-cell lymphoma C86.5 Angioimmunoblastic T-cell lymphoma C86.6 Primary cutaneous CD30-positive T-cell proliferations C88.2 Heavy chain disease C88.4 Extranodal marginal zone B-cell lymphoma of mucosaassociated lymphoid tissue [MALT-lymphoma] C88.8 Other malignant immunoproliferative diseases C88.9 Malignant immunoproliferative disease, unspecified C90.00 Multiple myeloma not having achieved remission C90.01 Multiple myeloma in remission C90.02 Multiple myeloma in relapse C90.10 Plasma cell leukemia not having achieved remission C90.11 Plasma cell leukemia in remission C90.12 Plasma cell leukemia in relapse C90.20 Extramedullary plasmacytoma not having achieved remission C90.21 Extramedullary plasmacytoma in remission C90.22 Extramedullary plasmacytoma in relapse C90.30 Solitary plasmacytoma not having achieved remission C90.31 Solitary plasmacytoma in remission C90.32 Solitary plasmacytoma in relapse C91.00 Acute lymphoblastic leukemia not having achieved remission C91.01 Acute lymphoblastic leukemia, in remission C91.02 Acute lymphoblastic leukemia, in relapse C91.10 Chronic lymphocytic leukemia of B-cell type not having achieved remission C91.11 Chronic lymphocytic leukemia of B-cell type in remission C91.12 Chronic lymphocytic leukemia of B-cell type in relapse C91.30 Prolymphocytic leukemia of B-cell type not having achieved remission C91.31 Prolymphocytic leukemia of B-cell type, in remission C91.32 Prolymphocytic leukemia of B-cell type, in relapse C91.40 Hairy cell leukemia not having achieved remission 32