1.  Created by Alejandra Munoz, CPC, NCICS

2.  Neoplasms are reported from Chapter 2 of ICD-10-CM.  Neoplasms, also known as tumors, are defined as an uncontrolled abnormal growth of cells and are characterized as malignant or benign.

3.  Morphology- The form and structure of the neoplastic growth  Metastasize- The spreading of cells  Encapsulated- Surrounded by a capsule  Biopsy- Removal of tissue for pathological examination to differentiate between malignant and benign.

4.  Also known as cancerous growths, are life threatening. Characteristics include: o Relatively rapid growth o Possible metastasis o Interference with normal cell growth o Cells are disorderly

5.  Liposarcoma  Osteogenic sarcoma  Leukemia  Carcinoma of breast  Esophageal adenocarcinoma  Ficrosarcoma  Adenocarcinoma of the uterus

6.  Also known as nonmalignant tumors, are usually not life threatening. Characteristics include: o Relatively slow growth o Encapsulation of cells o Cells appear similar to tissue of origin o Cells do not metastasize

7.  Lipoma  Osteoma  Chondroma  Fibroma  Maningioma  Neuroma  Fibroid

8.  Malignant neoplasms o Primary o Secondary o CA in situ  Benign neoplasms  Neoplasms of uncertain behavior  Neoplasms of unspecified behavior

9.  The Neoplasm Table is organized alphabetically by anatomical structure.  The Table is divided into six columns by the type of behavior of the neoplasm.

10. Specific Chapter Coding Guidelines for Neoplasms include the following:  Treatment directed at the malignancy  Treatment of secondary site  Coding and sequencing of complications  Primary malignancy previously excised  Admissions/encounters involving chemotherapy, immunotherapy, and radiation therapy

11.  Admission/encounter to determine extent of malignancy  Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms  Admission/encounter for pain control  Malignancy in two or more contiguous sites  Disseminated malignant neoplasm, unspecified  Malignant neoplasm without specification of site

12.  Sequencing of neoplasm codes  Current malignancy versus personal history of malignancy  Leukemia in remission versus personal history of leukemia  Aftercare following surgery for neoplasm

13.  Follow-up care for completed treatment of a malignancy  Prophylactic organ removal for prevention of malignancy  Malignant neoplasm associated with transplanted organ

14. Bowie, M. (2014). Understanding ICD-10-CM & ICD-10-PCS. Cengage.