ICD-9 Code 189.0

Malignant neoplasm of kidney, except pelvis

Not Valid for Submission

189.0 is a legacy non-billable code used to specify a medical diagnosis of malignant neoplasm of kidney, except pelvis. This code was replaced on September 30, 2015 by its ICD-10 equivalent.

ICD-9: 189.0
Short Description:Malig neopl kidney
Long Description:Malignant neoplasm of kidney, except pelvis

Convert 189.0 to ICD-10

The following crosswalk between ICD-9 to ICD-10 is based based on the General Equivalence Mappings (GEMS) information:

  • C64.9 - Malignant neoplasm of unsp kidney, except renal pelvis

Code Classification

  • Neoplasms (140–239)
    • Malignant neoplasm of genitourinary organs (179-189)
      • 189 Malignant neoplasm of kidney and other and unspecified urinary organs

Information for Medical Professionals

Synonyms

  • 11p partial monosomy syndrome
  • Clear cell carcinoma of kidney
  • Cystadenocarcinoma of kidney
  • Drash syndrome
  • Extrarenal rhabdoid tumor
  • Hypernephroma
  • Local recurrence of malignant tumor of kidney
  • Malignant tumor of kidney
  • Malignant tumor of kidney parenchyma
  • Metastasis from malignant tumor of kidney
  • Metastatic renal cell carcinoma
  • Myeloma kidney
  • Nephroblastoma
  • Papillary cystadenocarcinoma of kidney
  • Primary malignant neoplasm of kidney
  • Renal cell carcinoma
  • Sarcoma of kidney
  • T2: Renal tumor > 7.0 cm in greatest dimension limited to the kidney
  • T3b: Renal tumor grossly extends into the renal vein
  • T3c: Renal tumor grossly extends into the vena cava above the diaphragm
  • Transitional cell carcinoma of kidney

Index to Diseases and Injuries

References found for the code 189.0 in the Index of Diseases and Injuries:


Information for Patients


Kidney Cancer

Also called: Hypernephroma, Renal cancer

You have two kidneys. They are fist-sized organs on either side of your backbone above your waist. The tubes inside filter and clean your blood, taking out waste products and making urine. Kidney cancer forms in the lining of tiny tubes inside your kidneys.

Kidney cancer becomes more likely as you age. Risk factors include smoking, having certain genetic conditions, and misusing pain medicines for a long time.

You may have no symptoms at first. They may appear as the cancer grows. See your health care provider if you notice

  • Blood in your urine
  • A lump in your abdomen
  • Weight loss for no reason
  • Pain in your side that does not go away
  • Loss of appetite

Treatment depends on your age, your overall health and how advanced the cancer is. It might include surgery, chemotherapy, or radiation, biologic, or targeted therapies. Biologic therapy boosts your body's own ability to fight cancer. Targeted therapy uses substances that attack cancer cells without harming normal cells.

NIH: National Cancer Institute

  • After chemotherapy - discharge
  • Cancer - renal pelvis or ureter
  • Kidney removal
  • Kidney removal - discharge
  • Renal arteriography
  • Renal cell carcinoma
  • Renal scan
  • Renal venogram
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • Ureteral retrograde brush biopsy

[Read More]

Wilms Tumor

Also called: Nephroblastoma

Wilms tumor is a rare type of kidney cancer. It causes a tumor on one or both kidneys. It usually affects children, but can happen in adults. Having certain genetic conditions or birth defects can increase the risk of getting it. Children that are at risk should be screened for Wilms tumor every three months until they turn eight.

Symptoms include a lump in the abdomen, blood in the urine, and a fever for no reason. Tests that examine the kidney and blood are used to find the tumor.

Doctors usually diagnose and remove the tumor in surgery. Other treatments include chemotherapy and radiation and biologic therapies. Biologic therapy boosts your body's own ability to fight cancer.

NIH: National Cancer Institute

  • After chemotherapy - discharge
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)
  • Wilms tumor

[Read More]

ICD-9 Footnotes

General Equivalence Map Definitions
The ICD-9 and ICD-10 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.