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Item #
Length
Source of Standard
Year Implemented
Version Implemented
Year Retired
Version Retired
3,784
7
CoC
2013
13
NAACCR XML: Tumor.secondaryDiagnosis3
Alternate Names
Secondary Dx ICD10 3
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\t 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\t medical misadventures Z14.0 - Z22.9\t genetic susceptibility / infection disease carrier Z68.1 - Z68.54 BMI Z80.0 - Z80.9\t family history of malignant neoplasms Z85.0 - Z86.03 personal history of malignant neoplasms Z86.1 - Z99.89\t other personal health status