ICD-10-CM Code C78.39

Secondary malignant neoplasm of other respiratory organs

Version 2020 Billable Code Neoplasm Malignant Secondary

Valid for Submission

C78.39 is a billable code used to specify a medical diagnosis of secondary malignant neoplasm of other respiratory organs. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code C78.39 might also be used to specify conditions or terms like hypopharyngeal tnm finding, lip and oral cavity tnm finding, malignant neoplasm of cartilage of nose, malignant neoplasm of mastoid, malignant tumor of aryepiglottic fold - laryngeal aspect, malignant tumor of ethmoid sinus, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: antrum (Highmore) (maxillary) ; antrum (Highmore) (maxillary) tympanicum ; aryepiglottic fold laryngeal aspect ; arytenoid (cartilage) ; auditory canal (external) (skin) internal ; auditory tube ; auricular canal (external) [See Also: Neoplasm, skin, ear] internal ; etc

ICD-10:C78.39
Short Description:Secondary malignant neoplasm of other respiratory organs
Long Description:Secondary malignant neoplasm of other respiratory organs

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Hypopharyngeal TNM finding
  • Lip and oral cavity TNM finding
  • Malignant neoplasm of cartilage of nose
  • Malignant neoplasm of mastoid
  • Malignant tumor of aryepiglottic fold - laryngeal aspect
  • Malignant tumor of ethmoid sinus
  • Malignant tumor of Eustachian tube
  • Malignant tumor of false cord
  • Malignant tumor of frontal sinus
  • Malignant tumor of mastoid air cells
  • Malignant tumor of maxillary sinus
  • Malignant tumor of nasal septum
  • Malignant tumor of nasal vestibule
  • Malignant tumor of sphenoid sinus
  • Malignant tumor of subglottis
  • Malignant tumor of vocal cord
  • Maxillary sinus TNM finding
  • Maxillary sinus TNM finding
  • Metastasis to trachea of unknown primary
  • Nasopharynx TNM finding
  • Nasopharynx TNM finding
  • Neoplasm of cartilage of nose
  • Neoplasm of false vocal cord
  • Neoplasm of laryngeal aspect of aryepiglottic fold
  • Neoplasm of laryngeal surface of epiglottis
  • Neoplasm of mastoid air cells
  • Neoplasm of nasal vestibule
  • Neoplasm of subglottis
  • Oropharynx TNM finding
  • pT2: Tumor extends to the soft tissues
  • pT2: Tumor extends to vocal cord
  • pT2a: Tumor extends to the soft tissues of the oropharnyx and/or nasal cavity without parapharyngeal extension
  • pT3: Tumor invades any of the following: bone of the posterior wall of maxillary sinus, subcutaneous tissues, floor or medial wall of orbit, pterygoid fossa, ethmoid sinuses
  • pT3: Tumor involves bony structures and/or paranasal sinuses
  • pT4a: Tumor invades anterior orbital contents, skin of cheek, pterygoid plates, infratemporal fossa, cribriform plate, sphenoid or frontal sinuses
  • pT4a: Tumor invades cricoid or thyroid cartilage and/or invades tissues beyond the larynx
  • pT4a: Tumor invades the larynx, deep/extrinsic muscle of tongue, medial pterygoid muscle, hard palate, or mandible
  • pT4a: Tumor invades through cortical bone, into deep
  • pT4a: Tumor invades thyroid/cricoid cartilage, hyoid bone, thyroid gland, esophagus or central compartment of soft tissue
  • Secondary malignant neoplasm of accessory sinus
  • Secondary malignant neoplasm of cartilage of nose
  • Secondary malignant neoplasm of epiglottis
  • Secondary malignant neoplasm of ethmoidal sinus
  • Secondary malignant neoplasm of eustachian tube
  • Secondary malignant neoplasm of false vocal cord
  • Secondary malignant neoplasm of frontal sinus
  • Secondary malignant neoplasm of glottis
  • Secondary malignant neoplasm of laryngeal aspect of aryepiglottic fold
  • Secondary malignant neoplasm of laryngeal commissure
  • Secondary malignant neoplasm of laryngeal surface of epiglottis
  • Secondary malignant neoplasm of larynx
  • Secondary malignant neoplasm of mastoid air cells
  • Secondary malignant neoplasm of maxillary sinus
  • Secondary malignant neoplasm of nasal cavity
  • Secondary malignant neoplasm of nose
  • Secondary malignant neoplasm of nose
  • Secondary malignant neoplasm of septum of nose
  • Secondary malignant neoplasm of sphenoidal sinus
  • Secondary malignant neoplasm of subglottis
  • Secondary malignant neoplasm of supraglottis
  • Secondary malignant neoplasm of temporal bone
  • Secondary malignant neoplasm of trachea
  • Secondary malignant neoplasm of vestibule of nose
  • Secondary malignant neoplasm of vocal cord
  • Subglottis TNM finding
  • Subglottis TNM finding
  • T2: Aerodigestive tract tumor extends into nasal cavity
  • T2: Aerodigestive tract tumor extends to soft tissue of oropharynx and/or nasal fossa
  • T2: Aerodigestive tract tumor extends to supraglottis and/or subglottis, and/or with impaired vocal cord mobility
  • T2: Aerodigestive tract tumor extends to vocal cord with normal or impaired mobility
  • T3: Aerodigestive tract tumor extends to anterior orbit and/or maxillary sinus
  • T3: Aerodigestive tract tumor limited to larynx with vocal cord fixation and/or invades any of the following: postcricoid area, pre-epiglottic tissues, deep base of tongue
  • T3: Aerodigestive tumor invades bony structures and/or paranasal sinuses
  • T4: Aerodigestive tract tumor invades adjacent structures
  • T4: Aerodigestive tract tumor invades orbital contents beyond the floor or medial wall including apex and/or any of the following: cribriform plate, base of skull, nasopharynx, sphenoid sinus, frontal sinus
  • T4: Aerodigestive tract tumor with intracranial extension, orbital extension including apex, involving sphenoid and/or frontal sinus and/or skin of nose
  • T4: Lung tumor of any size that invades any of the following: mediastinum; heart; great vessels; trachea; esophagus; vertebral body; carina
  • T4: Oral Cavity: Tumor invades adjacent structures
  • T4: Tumor invades through cricoid or thyroid cartilage and/or extends into other tissues beyond the larynx
  • Tumor invasion into supraglottis
  • Tumor of Eustachian tube

Diagnostic Related Groups

The ICD-10 code C78.39 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2019 through 09/30/2020.

  • 180 - RESPIRATORY NEOPLASMS WITH MCC
  • 181 - RESPIRATORY NEOPLASMS WITH CC
  • 182 - RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Convert C78.39 to ICD-9

  • 197.3 - Sec malig neo resp NEC (Approximate Flag)

Code Classification

  • Neoplasms (C00–D48)
    • Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)
      • Secondary malignant neoplasm of resp and digestive organs (C78)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Table of Neoplasms

The code C78.39 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»antrum (Highmore) (maxillary)
C31.0C78.39D02.3D14.0D38.5D49.1
»antrum (Highmore) (maxillary)
  »tympanicum
C30.1C78.39D02.3D14.0D38.5D49.1
»aryepiglottic fold
  »laryngeal aspect
C32.1C78.39D02.0D14.1D38.0D49.1
»arytenoid (cartilage)
C32.3C78.39D02.0D14.1D38.0D49.1
»auditory
  »canal (external) (skin)
    »internal
C30.1C78.39D02.3D14.0D38.5D49.1
»auditory
  »tube
C30.1C78.39D02.3D14.0D38.5D49.1
»auricular canal (external) [See Also: Neoplasm, skin, ear]
  »internal
C30.1C78.39D02.3D14.0D38.5D49.2
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »arytenoid
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »bronchi
C34.0C78.39D14.3D38.1D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »cricoid
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »cuneiform
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »epiglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »larynx, laryngeal
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »nose, nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »thyroid
C32.3C78.39D02.0D14.1D38.0D49.1
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »trachea
C33C78.39D02.1D14.2D38.1D49.1
»cavity
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»cavity
  »tympanic
C30.1C78.39D02.3D14.0D38.5D49.1
»commissure
  »laryngeal
C32.0C78.39D02.0D14.1D38.0D49.1
»concha [See Also: Neoplasm, skin, ear]
  »nose
C30.0C78.39D02.3D14.0D38.5D49.1
»cord (true) (vocal)
C32.0C78.39D02.0D14.1D38.0D49.1
»cord (true) (vocal)
  »false
C32.1C78.39D02.0D14.1D38.0D49.1
»cricoid
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»cuneiform cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»ear (external) [See Also: Neoplasm, skin, ear]
  »inner
C30.1C78.39D02.3D14.0D38.5D49.1
»ear (external) [See Also: Neoplasm, skin, ear]
  »middle
C30.1C78.39D02.3D14.0D38.5D49.1
»epiglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »posterior (laryngeal) surface
C32.1C78.39D02.0D14.1D38.0D49.1
»epiglottis
  »suprahyoid portion
C32.1C78.39D02.0D14.1D38.0D49.1
»ethmoid (sinus)
C31.1C78.39D02.3D14.0D38.5D49.1
»eustachian tube
C30.1C78.39D02.3D14.0D38.5D49.1
»frontal
  »sinus
C31.2C78.39D02.3D14.0D38.5D49.1
»glottis
C32.0C78.39D02.0D14.1D38.0D49.1
»interarytenoid fold
  »laryngeal aspect
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
C32.9C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »aryepiglottic fold
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »cartilage (arytenoid) (cricoid) (cuneiform) (thyroid)
C32.3C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »commissure (anterior) (posterior)
C32.0C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »extrinsic NEC
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »interarytenoid fold
C32.1C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »intrinsic
C32.0C78.39D02.0D14.1D38.0D49.1
»larynx, laryngeal NEC
  »ventricular band
C32.1C78.39D02.0D14.1D38.0D49.1
»mastoid (air cells) (antrum) (cavity)
C30.1C78.39D02.3D14.0D38.5D49.1
»maxilla, maxillary (superior)
  »antrum
C31.0C78.39D02.3D14.0D38.5D49.1
»maxilla, maxillary (superior)
  »sinus
C31.0C78.39D02.3D14.0D38.5D49.1
»mucosa
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»nares, naris (anterior) (posterior)
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »cartilage
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »cavity
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »fossa
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »internal
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »mucosa
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »septum
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »turbinate (mucosa)
C30.0C78.39D02.3D14.0D38.5D49.1
»nose, nasal
  »vestibule
C30.0C78.39D02.3D14.0D38.5D49.1
»nostril
C30.0C78.39D02.3D14.0D38.5D49.1
»septum
C30.0C78.39D02.3D14.0D38.5D49.1
»septum
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
C31.9C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »ethmoidal
C31.1C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »frontal
C31.2C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »maxillary
C31.0C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »nasal, paranasal NEC
C31.9C78.39D02.3D14.0D38.5D49.1
»sinus (accessory)
  »sphenoid
C31.3C78.39D02.3D14.0D38.5D49.1
»sphenoid
C31.3C78.39D02.3D14.0D38.5D49.1
»sphenoid
  »sinus
C31.3C78.39D02.3D14.0D38.5D49.1
»subglottis, subglottic
C32.2C78.39D02.0D14.1D38.0D49.1
»supraglottis
C32.1C78.39D02.0D14.1D38.0D49.1
»thyroid (gland)
  »cartilage
C32.3C78.39D02.0D14.1D38.0D49.1
»trachea (cartilage) (mucosa)
C33C78.39D02.1D14.2D38.1D49.1
»tracheobronchial
C34.8C78.39D02.1D14.2D38.1D49.1
»turbinate (bone)
  »nasal
C30.0C78.39D02.3D14.0D38.5D49.1
»tympanic cavity
C30.1C78.39D02.3D14.0D38.5D49.1
»ventricular band of larynx
C32.1C78.39D02.0D14.1D38.0D49.1
»vestibule
  »nose
C30.0C78.39D02.3D14.0D38.5D49.1
»vocal cords (true)
C32.0C78.39D02.0D14.1D38.0D49.1
»vocal cords (true)
  »false
C32.1C78.39D02.0D14.1D38.0D49.1
»windpipe
C33C78.39D02.1D14.2D38.1D49.1

Information for Patients


Cancer

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute


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