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Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
3794 7 CoC 2013 13

NAACCR XML: Tumor.secondaryDiagnosis8

Alternate Names
   Secondary Dx ICD10 8
Description
Records the patient’s preexisting medical conditions, factors influencing health status, and/or complications for the treatment of this cancer. Both are considered secondary diagnoses. Preexisting medical conditions, factors influencing health status, and/or complications may affect treatment decisions and influence patient outcomes. Information on comorbidities is used to adjust outcome statistics when evaluating patient survival and other outcomes. Complications may be related to the quality of care. ICD-10-CM codes are 7 characters long, where each character represents an aspect of the condition or procedure: the 7 characters indicate 'section', 'body system', 'root operation', 'body part', 'approach', 'device', and 'qualifier', respectively (see ICD-10-PCS Reference Manual for additional information).
Rationale
The current Comorbidity and complication items are based on ICD-9-CM codes and only allow 5 characters, with the introduction of ICD-10-CM in to common use the NAACCR transmission record needs to be able to carry these new codes (that are longer in length and different in structure).
Codes
A00.0 - B99.9 infectious and parasitic diseases
E00.0 - E89.89 endocrine and metabolic diseases
G00.0 - P96.9 diseases of the nervous system, eye, ear, skin, circulatory, respiratory, and digestive , musculoskeletal, genitourinary systems, pregnancy, childbirth and perinatal conditions
R00.0 - S99.929 symptoms, signs and abnormal clinical and lab findings
T36.0 - T50.996 medical poisonings
Y62.0 - Y84.9 medical misadventures
Z14.0 - Z22.9 genetic susceptibility / infection disease carrier
Z68.1 - Z68.54 BMI
Z80.0 - Z80.9 family history of malignant neoplasms
Z85.0 - Z86.03 personal history of malignant neoplasms
Z86.1 - Z99.89 other personal health status




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