198.5  Secondary malignant neoplasm of bone and bone marrow
ICD-9-CM Code Details and Notes
Short Title: Secondary malig neo bone
198.5 is a billable medical code.
See Chapter Specific Guidelines
- ICD-9-CM Chapters, Sections & Parents

140-239 Neoplasms

1. Content:
      • This chapter contains the following broad groups:
         • 140-195 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphatic and hematopoietic tissue
         • 196-198 Malignant neoplasms, stated or presumed to be secondary, of specified sites
         • 199 Malignant neoplasms, without specification of site
         • 200-208 Malignant neoplasms, stated or presumed to be primary, of lymphatic and hematopoietic tissue
         • 209 Neuroendocrine tumors
         • 210-229 Benign neoplasms
         • 230-234 Carcinoma in situ
         • 235-238 Neoplasms of uncertain behavior [see Note, at beginning of section 235-238]
         • 239 Neoplasms of unspecified nature
2. Functional activity
      • All neoplasms are classified in this chapter, whether or not functionally active. An additional code from Chapter 3 may be used to identify such functional activity associated with any neoplasm, e.g.:
         • catecholamine-producing malignant pheochromocytoma of adrenal:
            • code 194.0, additional code 255.6
         • basophil adenoma of pituitary with Cushing's syndrome:
            • code 227.3, additional code 255.0
3. Morphology [Histology]
      • For those wishing to identify the histological type of neoplasms, a comprehensive coded nomenclature, which comprises the morphology rubrics of the ICD-Oncology, is given after the E-code chapter.
4. Malignant neoplasms overlapping site boundaries
Categories 140-195 are for the classification of primary malignant neoplasms according to their point of origin. A malignant neoplasm that overlaps two or more subcategories within a three-digit rubric and whose point of origin cannot be determined should be classified to the subcategory .8 "Other." For example, "carcinoma involving tip and ventral surface of tongue" should be assigned to 141.8. On the other hand, "carcinoma of tip of tongue, extending to involve the ventral surface" should be coded to 141.2, as the point of origin, the tip, is known. Three subcategories (149.8, 159.8, 165.8) have been provided for malignant neoplasms that overlap the boundaries of three-digit rubrics within certain systems. Overlapping malignant neoplasms that cannot be classified as indicated above should be assigned to the appropriate subdivision of category 195 (Malignant neoplasm of other and ill-defined sites).

190-199 Malignant Neoplasm Of Other And Unspecified Sites

Excludes:
   • carcinoma in situ (234.0-234.9)

198 Secondary malignant neoplasm of other specified sites

Excludes:
   • lymph node metastasis (196.0-196.9)
   • secondary neuroendocrine tumor of other specified sites (209.79)

ICD-9-CM Index References
• Neoplasm (cancer) (tumor) , neoplastic acromion Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic alveolar ridge or process Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic alveolar ridge or process lower Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic alveolar ridge or process mucosa upper upper Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic atlas Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone acetabulum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone acromion Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone ankle Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone arm NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone astragalus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone atlas Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone axis Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone back NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone calcaneus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone calvarium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone carpus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cartilage NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone clavicle Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone clivus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone coccygeal vertebra Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone costal cartilage Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone costovertebral joint Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cranial Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cuboid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cuneiform Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cuneiform ankle Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone cuneiform wrist Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone digital Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone digital finger Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone digital toe Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone elbow Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone ethmoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone face Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone face lower jaw Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone femur Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone fibula Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone finger Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone foot Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone forearm Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone frontal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone hand Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone heel Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone hip Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone humerus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone hyoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone ilium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone innominate Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone intervertebralcartilage or disc Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone ischium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone jaw Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone jaw upper Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone knee Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone leg NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone limb NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone limb NEC lower Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone limb NEC lower short bones Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone limb NEC upper Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone limb NEC upper short bones Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone long Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone long lower limbs NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone long upper limbs NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone malar Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone mandible Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone marrow NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone mastoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone maxilla, maxillary Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone maxilla, maxillary inferior Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone metacarpus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone metatarsus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone navicular Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone navicular hand Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone nose, nasal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone occipital Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone orbit Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone parietal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone patella Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone pelvic Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone phalanges Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone phalanges foot Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone phalanges hand Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone pubic Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone radius Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone rib Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone sacral vertebra Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone sacrum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone scaphoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone scaphoid of ankle Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone scapula Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone sella turcica Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone short Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone short lower limb Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone short upper limb Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone shoulder Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone skeleton, skeletal NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone skull Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone sphenoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone spine, spinal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone spine, spinal coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone spine, spinal sacrum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone sternum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone tarsus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone temporal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone thumb Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone tibia Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone toe Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone trapezium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone trapezoid Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone turbinate Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone ulna Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone unciform Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone vertebra Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone vertebra coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone vertebra sacrum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone vomer Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone wrist Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone xiphoid process Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic bone zygomatic Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic calvarium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic carpus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC costal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC ensiform Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC intervertebral Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC rib Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic cartilage (articular) (joint) NEC semilunar Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic clavicle Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic clivus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic coccygeal vertebra Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic costal cartilage Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic costovertebral joint Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic disc, intervertebral Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic ensiform cartilage Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic ethmoid bone or labyrinth Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic femur Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic fibula Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic frontal bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic humerus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic ilium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic intervertebral cartilage or disc Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic ischium Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic jaw bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic jaw bone lower Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic jaw bone upper Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic joint NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic joint NEC acromioclavicular Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic joint NEC costovertebral Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic joint NEC sternocostal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic joint NEC temporomandibular Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic malar Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic mandible Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic mandible alveolar ridge or process Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic marrow (bone) NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic mastoid bone or process Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic maxilla, maxillary Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic maxilla, maxillary alveolar ridge or process Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic meniscus, knee joint Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic metacarpus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic metatarsus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic nose, nasal bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic nose, nasal turbinate bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic nucleus pulposus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic occipital bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic orbit bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic parietal bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic patella Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic pelvis, pelvic bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic phalanges Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic phalanges foot Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic phalanges hand Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic pubic bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic radius Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic rib Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sacrococcyx, sacrococcygeal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sacrum, sacral Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic scapula Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sella turcica bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic semilunar cartilage Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sinus bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic skeleton, skeletal NEC Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic skull Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sphenoid bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic spine, spinal Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic spine, spinal coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic spine, spinal lumbosacral Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic spine, spinal sacrum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic sternum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic symphysis pubis Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic tarsus Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic temporal bone Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic tibia Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic turbinate Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic ulna Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic vertebra Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic vertebra coccyx Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic vertebra sacrum Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic vomer Malignant Secondary
• Neoplasm (cancer) (tumor) , neoplastic xiphoid process Malignant Secondary
Synonyms & Definitions
SNOMED Clinical Terms Synonyms:

Bone Cancer

Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another part of the body is more common.

There are three types of bone cancer:

  • Osteosarcoma - occurs most often between ages 10 and 19. It is more common in the knee and upper arm.
  • Chondrosarcoma - starts in cartilage, usually after age 40
  • Ewing's sarcoma - occurs most often in children and teens under 19. It is more common in boys than girls.

The most common symptom of bone cancer is pain. Other symptoms vary, depending on the location and size of the cancer. Surgery is often the main treatment for bone cancer. Other treatments may include amputation, chemotherapy, and radiation therapy. Because bone cancer can come back after treatment, regular follow-up visits are important.

NIH: National Cancer Institute

Bone Cancer

Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another part of the body is more common.

There are three types of bone cancer:

  • Osteosarcoma - occurs most often between ages 10 and 19. It is more common in the knee and upper arm.
  • Chondrosarcoma - starts in cartilage, usually after age 40
  • Ewing's sarcoma - occurs most often in children and teens under 19. It is more common in boys than girls.

The most common symptom of bone cancer is pain. Other symptoms vary, depending on the location and size of the cancer. Surgery is often the main treatment for bone cancer. Other treatments may include amputation, chemotherapy, and radiation therapy. Because bone cancer can come back after treatment, regular follow-up visits are important.

NIH: National Cancer Institute