Hematology and Oncology

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Hematology

General Documentation Considerations

Diagnoses

ICD-9 to ICD-10 Crosswalk

The codes in these crosswalks were selected based on the most commonly used ICD-9 codes according to historical MedStar Health coding data and from professional coding associations, and are ordered by frequency of use. 

Not all the codes you need are contained in this list. For a comprehensive list of ICD-10 codes, use Diagnosis Assistant or the IMO Anywhere tool.

Code Description (ICD-9 codes are in blue)
283.0 Autoimmune hemolytic anemias
D59.0 Drug-induced autoimmune hemolytic anemia
D59.1 Other autoimmune hemolytic anemias

*Use additional code for adverse effect, if applicable, to identify drug (T36-TSO with fifth or sixth character 5)
145.8 Malignant neoplasm of other specified parts of mouth
C06.89 Malignant neoplasm of overlapping sites of other parts of mouth

* Use additional code to identify:

alcohol abuse and dependence (Fl 0.-)

history of tobacco use (Z87.891)

tobacco dependence (F17.-)

tobacco use (Z72.0)
C06.80
Malignant neoplasm of overlapping sites of unspecified parts of mouth
202.10 Mycosis fungoides unspecified site extranodal and solid organ sites
C84.00 Mycosis fungoides, unspecified site
C84.09 Mycosis fungoides, extra nodal and solid organ sites
200.70 Large cell lymphoma, unspecified site, extranodal and solid organ sites
C85.39 Diffuse large 8-celllymphoma, extranodal and solid organ sites
C85.20 Mediastinal (thymic) large 8-cell lymphoma, unspecified site
C85.29
Mediastinal (thymic) large 8-celllymphoma, extra nodal and solid organ sites
161.9                         Malignant neoplasm of larynx, unspecified
C32.9 Malignant neoplasm of larynx, unspecified

* Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)
205.10 Chronic myeloid leukemia, without mention of having achieved remission
C92.10 Chronic myeloid leukemia, BCR/ABL- positive, not having achieved remission
186.9 Malignant neoplasm of other and unspedfied testis
C62.10 Malignant neoplasm of unspecified descended testis
C62.90 Malignant neoplasm of unspecified testis, unspecified whether descended or undescended

* Use additional code to identify any functional activity
C62.11
Malignant neoplasm of descended right testis
C62.12
Malignant neoplasm of descended left testis
C62.91
Malignant neoplasm of right testis, unspecified whether descended or undescended
C62.92
Malignant neoplasm of left testis, unspecified whether descended or undescended
151.9 Malignant neoplasm of stomach, unspecified site
C16.9 Malignant neoplasm of stomach, unspecified

* Use additional code to identify:

alcohol abuse and dependence (F10.-)
280.9 Iron deficiency anemia, unspecified
D50.9 Iron deficiency anemia, unspecified
238.75 Myelodysplastic syndrome, unspecified
D46.9 Myelodysplastic syndrome, unspecified

* Use additional code for adverse effect, if applicable, to identify drug (T36-T5O with fifth or sixth character 5)
D46.Z
Other myelodysplastic syndromes
288.00 Neutropenia, unspecified
D70.9 Neutropenia, unspecified

* Use additional code for any associated:

fever (R50.81)

mucositis (J34.81, K12.3-, K92.81, N76.81)
287.31 Immune thrombocytopenic purpura
D69.3 Immune thrombocytopenic purpura
284.19 Other pancytopenia
D61.818 Other pancytopenia
204.00 Acute lymphoid leukemia, without mention of having achieved remission
C91.00 Acute lymphoblastic leukemia not having achieved remission
446.6 Thrombotic microangiopathy
M31.1 Thrombotic microangiopathy
273.1 Monoclonal paraproteinemia
D47.2 Monoclonal gammopathy
D89.2 Hypergammaglobulinemia, unspecified
146.9 Malignant neoplasm of oropharynx, unspecified site
C10.9 Malignant neoplasm of oropharynx, unspecified

* Use additional code to identify:

alcohol abuse and dependence (F10.-)

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-l

tobacco use (Z72.0)
202.0 Nodular lymphoma, unspecified site, extranodal and solid organ sites
C82.90 Follicular lymphoma, unspecified, unspecified site
C82.99 Follicular lymphoma, unspecified, extranodal and solid organ sites
C82.00
Follicular lymphoma grade I, unspecified site
C82.09
Follicular lymphoma grade I, extranodal and solid organ sites
C82.10
Follicular lymphoma grade II, unspecified site
C82.19
Follicular lymphoma grade II, extra nodal and solid organ sites
C82.20
Follicular lymphoma grade Ill, unspecified, unspecified site
C82.29
Follicular lymphoma grade Ill, unspecified, extra nodal and solid organ sites
C82.30
Follicular lymphoma grade lila, unspecified site
C82.39
Follicular lymphoma grade lila, extranodal and solid organ sites
C82.40
Follicular lymphoma grade lllb, unspecified site
C82.49
Follicular lymphoma grade lllb, extranodal and solid organ sites
C82.60
Cutaneous follicle center lymphoma, unspecified site
C82.69
Cutaneous follicle center lymphoma, exrranodal and solid organ sites
C82.80
Other types of follicular lymphoma, unspecified site
C82.89
Other types of follicular lymphoma, extra nodal and solid organ sites
273.3 Macroglobulinemia
C88.0 Waldenstrom macroglobulinemia
203.01 Multiple myeloma, in remission
C90.01 Multiple myeloma in remission
155.1 Malignant neoplasm of intrahepatic bile ducts
C22.1 Intrahepatic bile duct carcinoma

* Use additional code to identify:

alcohol abuse and dependence (F10.-)

hepatitis B (B16.-, B18.0-B18.1)

hepatitis C (B17.1-, B18.2)
238.4 Polycythemia vera
D45 Polycythemia vera
205.00 Acute myeloid leukemia, without mention of having achieved remission
C92.00 Acute myeloblastic leukemia, not having achieved remission
C92.40 Acute promyelocytic leukemia, not having achieved remission
C92.50
Acute myelomonocytic leukemia, not having achieved remission
C92.60
Acute myeloid leukemia with 11q23-abnormality not having achieved remission
C92.AO
Acute myeloid leukemia with multilineage dysplasia, not having achieved remission
309.28 Adjustment disorder with mixed anxiety and depressed mood
F43.23 Adjustment disorder with mixed anxiety and depressed mood
154.1 Malignant neoplasm of rectum
C20 Malignant neoplasm of rectum
153.9 Malignant neoplasm of colon, unspecified site
C18.9 Malignant neoplasm of colon, unspecified
V26.33 Genetic counseling
Z31.5 Encounter for genetic counseling
415.19 Pulmonary embolism and infarction, other
I26.99 Other pulmonary embolism without acute cor pulmonale
I26.09
Other pulmonary embolism with acute cor pulmonale
172.9 Melanoma of skin, site unspecified
C43.9 Malignant melanoma of skin, unspecified
D03.9 Melanoma in situ, unspecified
185 Malignant neoplasm of prostate
C61 Malignant neoplasm of prostate
204.10 Chronic, without mention of having achieved remission
C91.1 0 Chronic lymphocytic leukemia of B-cell type not having achieved remission
191.9 Malignant neoplasm of brain, unspecified site
C71.9 Malignant neoplasm of brain, unspecified 
457.0 Postmastectomy  lymphedema syndrome
I97.2 Postmastectomy  lymphedema syndrome
150.9 Malignant neoplasm of esophagus, unspecified site
C15.9 Malignant neoplasm of esophagus, unspecified

* Use additional code to identify:

alcohol abuse or dependence (F10.-)
285.9 Anemia, unspecified
D64.9 Anemia, unspecified
287.5 Thrombocytopenia, unspecified
D69.6 Thrombocytopenia, unspecified
453.40 Acute venous embolism and thrombosis of unspecified deep vessels of lower extremity
I82.409 Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82.401 Acute embolism and thrombosis of unspecified deep veins of right lower extremity
I82.402
Acute embolism and thrombosis of unspecified deep veins of left lower extremity
I82.403
Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral
201.90 Hodgkin's disease, unspecified, unspecified site, extranodal and solid organ sites
C81.90 Hodgkin lymphoma, unspecified, unspecified site
C81.99 Hodgkin lymphoma, unspecified, extranodal and solid organ sites
171.9 Malignant neoplasm of connective and other soft tissue, site unspecified
C49.9 Malignant neoplasm of connective and soft tissue, unspecified
C47.9 Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
457.1 Other lymphedema
I89.0 Lymphedema, not elsewhere classified
188.9 Malignant neoplasm of bladder, part unspecified
C67.9 Malignant neoplasm of bladder, unspecified
189.0 Malignant neoplasm of kidney, except pelvis
C64.9 Malignant neoplasm of unspecified kidney, except renal pelvis
C64.1 Malignant neoplasm of right kidney, except renal pelvis
C64.2
Malignant neoplasm of left kidney, except renal pelvis
V58.11 Encounter for antineoplastic chemotherapy
Z51.11 Encounter for antineoplastic chemotherapy

* Code also condition requiring care
238.71 Essential thrombocythemia
D47.3 Essential (hemorrhagic) thrombocythemia
174.9 Malignant neoplasm of breast (female), unspecified
C50.919 Malignant neoplasm of unspecified site of unspecified female breast

* Use additional code to identify estrogen receptor status (Z17.0, Z17.1)
C50.911
Malignant neoplasm of unspecified site of right female breast
C50.912
Malignant neoplasm of unspecified site of left female breast
C50.921
Malignant neoplasm of unspecified site of right male breast
C50.922
Malignant neoplasm of unspecified site of left male breast
C50.929
Malignant neoplasm of unspecified site of unspecified male breast
162.9 Malignant neoplasm of bronchus and lung, unspecified
C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung

* Use additional code to identify:

exposure to environmental tobacco smoke (Z77.22)

exposure to tobacco smoke in the perinatal period (P96.81)

history of tobacco use (Z87.891)

occupational exposure to environmental tobacco smoke (Z57.31)

tobacco dependence (F17.-)

tobacco use (Z72.0)
C34.91
Malignant neoplasm of unspecified part of right bronchus or lung
C34.92
Malignant neoplasm of unspecified part of leh bronchus or lung
202.80 Other lymphomas, unspecified site, extra nodal and solid organ site
C85.80 Other specified types of non-Hodgkin lymphoma, unspecified site
C85.89 Other specified types of non-Hodgkin lymphoma, extranodal and solid organ sites
C82.50
Diffuse follicle center lymphoma, unspecified site
C82.59
Diffuse follicle center lymphoma, extra nodal and solid organ sites
C84.90
Mature T/NK-celllymphomas, unspecified, unspecified site
C84.99
Mature TINK-cell lymphomas, unspecified, extra nodal and solid organ sites
C84.A0
Cutaneous T-cell lymphoma, unspecified, unspecified site
C84.A9
Cutaneous T-celllymphoma, unspecified, extra nodal and solid organ sites
C84.Z0
Other mature T/NK-cell lymphomas, unspecified site
C84.Z9
Other mature T/NK·cell lymphomas, extra nodal and solid organ sites
C85.10
Unspecified B-celllymphoma, unspecified site
C85.19
Unspecified B-celllymphoma, extranodal and solid organ sites
C85.20
Mediastinal (thymic) large B·celllymphoma, unspecified site
C85.29
Mediastinal (thymic) large B-celllymphoma, extranodal and solid organ sites
C85.90
Non-Hodgkin lymphoma, unspecified, unspecified site
C85.99
Non-Hodgkin lymphoma, unspecified, extra nodal and solid organ sites
C86.4
Blastic NK-cell lymphoma
203.00 Multiple myeloma, without mention of having achieved remission
C90.00 Multiple myeloma not having achieved remission
157.9 Malignant neoplasm of pancreas, part unspecified
C25.9 Malignant neoplasm of pancreas, unspecified

* Use additional code to identify:

alcohol use and dependence (F10.-)
289.81 Primary hypercoagulable state
D68.51 Activated protein C resistance
D68.52 Prothrombin gene mutation
D68.59
Other primary thrombophilia
D68.61
Antiphospholipid syndrome
D68.62
Lupus anticoagulant syndrome
198.3 Secondary malignant neoplasm of brain and spinal cord
C79.31 Secondary malignant neoplasm of brain
C79.32 Secondary malignant neoplasm of cerebral meninges
198.5 Secondary malignant neoplasm of bone and bone marrow
C79.51 Secondary malignant neoplasm of bone
C79.52 Secondary malignant neoplasm of bone marrow
174.4 Malignant neoplasm upper-outer quadrant of female breast

Document laterlity and breast. Note the quadrant of breast.
C50.411 Malignant neoplasm of upper-outer quadrant of right female breast
C50.412
Malignant neoplasm of upper-outer quadrant of left female breast
C50.419
Malignant neoplasm of upper-outer quadrant of unspecified female breast
196.0 Secondary and unspecified malignant neoplasm of lymph nodes of head face and neck
C77.0 Secondary and unspecified malignant neoplasm of lymph nodes of head face and neck
197.7 Malignant neoplasm of liver secondary
C78.7 Malignant neoplasm of liver secondary
157.0 Malignant neoplasm of head of pancreas
C25.0 Malignant neoplasm of head of pancreas
141.0 Malignant neoplasm of base of tongue
C01 Malignant neoplasm of base of tongue
233.0 Carcinoma in situ of breast

Document if lobular, intraductal, or other specified type of carcinomain situ of right, left, or bilateral breasts. ICD-10 options include the following:
D05.90 Unspecified type of carcinoma in situ of unspecified breast
D05.00
Lobular carcinoma in situ of unspecified breast
D05.01
Lobular carcinoma in situ of right breast
D05.02
Lobular carcinoma in situ of left breast
D05.10
Intraductal carcinoma in situ of unspecified breast
D05.11
Intraductal carcinoma in situ of right breast
D05.12
Intraductal carcinoma in situ of left breast
D05.80
Other specified type of carcinoma in situ of unspecified breast
D05.81
Other specified type of carcinoma in situ of right breast
D05.82
Other specified type of carcinoma in situ of left breast
D05.91
Unspecified type of carcinoma in situ of right breast
D05.92
Unspecified type of carcinoma in situ of left breast
174.8 Malignant neoplasm of other specified sites of female breast

Note the specific breast and account for laterality.
C50.819 Malignant neoplasm of overlapping sites of unspecified female breast
C50.811
Malignant neoplasm of overlapping sites of right female breast
C50.812
Malignant neoplasm of overlapping sites of left female breast
174.2 Malignant neoplasm of upper-inner quadrant of female breast

Document the location of malignant neoplasm noting specific breast and quadrant of breast.
C50.219 Malignant neoplasm of upper-inner quadrant of unspecified female breast
C50.211
Malignant neoplasm of upper-inner quadrant of right female breast
C50.212
Malignant neoplasm of upper-inner quadrant of left female breast
150.5 Malignant neoplasm of abdominal esophagus AND Malignant neoplasm of lower third of esophagus

Both diagnoses are incorporated into one code under ICD-10:
C15.5 Malignant neoplasm of lower third of esophagus
162.3 Malignant neoplasm of upper lobe bronchus or lung
C34.10 Malignant neoplasm of upper lobe, unspecified bronchus or lung
C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
C34.12
Malignant neoplasm of upper lobe, left bronchus or lung
142.0 Malignant neoplasm of parotid gland
C07 Malignant neoplasm of parotid gland
197.0 Secondary malignant neoplasm of lung
C78.00 Secondary malignant neoplasm of unspecified lung
C78.01 Secondary malignant neoplasm of right lung
C78.02
Secondary malignant neoplasm of left lung
161.1 Malignant neoplasm of supraglottis
C32.1 Malignant neoplasm of supraglottis
146.0 Malignant neoplasm of tonsil

Note if malignant neoplasm is of overlapping sites of tonsils if applicable.
C09.9 Malignant neoplasm of tonsil, unspecified
C09.8
Malignant neoplasm of overlapping sites of tonsil
174.3 Malignant neoplasm of lower-inner quadrant of female breast

Document if right, left, or unspecified lower inner quadrant of female breast.
C50.319 Malignant neoplasm of lower-inner quadrant of unspecified female breast
C50.311
Malignant neoplasm of lower-inner quadrant of right female breast
C50.312
Malignant neoplasm of lower-inner quadrant of left female breast
161.0 Malignant neoplasm of glottis
C32.0 Malignant neoplasm of glottis
153.3 Malignant neoplasm of sigmoid colon
C18.7 Malignant neoplasm of sigmoid colon
155.0 Malignant neoplasm of liver, primary
C22.0 Liver cell carcinoma
C22.2 Hepatoblastoma
C22.7
Other specified carcinomas of liver
C22.8
Malignant neoplasm of liver, primary, unspecified as to type
C22.3
Angiosarcoma of liver
C22.4
Other sarcomas of liver
157.1 Malignant neoplasm of body of pancreas
C25.1 Malignant neoplasm of body of pancreas
157.2 Malignant neoplasm of tail of pancreas
C25.2 Malignant neoplasm of tail of pancreas
203.02 Multiple myeloma, in relapse
C90.02 Multiple myeloma, in relapse
162.5 Malignant neoplasm of lower lobe bronchus or lung

Note laterality and whether neoplasm is in lower 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
174.1 Malignant neoplasm of central portion of female breast

Document if malignant neoplasm of the left, right, or unspecified central portion of the female breast.
C50.119 Malignant neoplasm of central portion of unspecified female breast
C50.111
Malignant neoplasm of central portion of right female breast
C50.112
Malignant neoplasm of central portion of left female breast
150.3 Malignant neoplasm of cervical esophagus AND Malignant neoplasm of upper third of esophagus

Both diagnoses are incorporated into one code under ICD-10:
C15.3 Malignant neoplasm of upper third of esophagus
289.82 Secondary hypercoagulable state
D68.69 Other thrombophilia
787.91 Diarrhea

Allergic and dietetic gastroenteritis can now be reported under one code under ICD-10. See available code choices below:
K52.2 Allergic and dietetic gastroenteritis and colitis
K52.89
Other specified noninfective gastroenteritis and colitis
R19.7
Diarrhea, unspecified
154.2 Malignant neoplasm of anal canal
C21.1 Malignant neoplasm of anal canal
174.5 Malignant neoplasm of lower-outer quadrant of female breast

Document if malignant neoplasm of lower-outer quadrant of left, right, or unspecified female breast.
C50.519 Malignant neoplasm of lower-outer quadrant of unspecified female breast
C50.511
Malignant neoplasm of lower-outer quadrant of right female breast
C50.512
Malignant neoplasm of lower-outer quadrant of left female breast