Organization

Field Name

ID

Required

KCR

Histology (Histology)

30090

yes

NAACCR

Histologic Type ICD-O-3

522

yes


Field Length:   4

The current Solid Tumor Rules, the Hematopoietic and Lymphoid Neoplasm Coding Manual and Database, and the International Classification of Diseases for Oncology, Third Edition, Second Revision Morphology (ICD-O-3.2) are the standard references for histology codes.


ICD-O-3.2

Standard setters have agreed to implement new histology terms and codes for ICD-O-3 based on the current versions of the World Health Organization Classification of Tumors. The update, referred to as ICD-O-3.2,

includes comprehensive tables listing histology codes and behavior codes in effect beginning with cases diagnosed in 2021 The new codes, new terms, and codes with changes to behavior are available at the  NAACCR website.


Histology Coding for Solid Tumors

Apply the general instructions and instructions for coding histologic type in the current Solid Tumor Rules.

Apply the site-specific histology coding rules in the current Solid Tumor Rules.

Site-specific histology coding rules cover the following sites/types.

Primary Site

Topography

Head and Neck

C000-C148, C300-C329, C410, C411, C442

Colon, Rectosigmoid, Rectum

C180-C189, C199, C209

Lung

C340-C349

Cutaneous Melanoma

C440-C449 with Histology 8720-8780

Breast

C500-C506, C508-C509

Kidney

C649

Urinary Sites

C659, C669, C670-C679, C680-C681, C688-C689

Non-malignant CNS Tumors

C700, C701, C709, C710-C719, C720-C725, C728, C729, C751-C753

Malignant CNS and Peripheral Nerves

C470-C479, C700, C701, C709, C710-C719, C720-C725, C728, C729, C751-C753

Other Sites

Excludes:  Head and Neck, Colon, Lung, Melanoma of Skin, Breast,

Kidney, Renal Pelvis, Ureter, Bladder, Brain, Lymphoma and Leukemia


Histology Coding for Hematopoietic and Lymphatic Primaries

Apply the Histology Coding Rules in the Hematopoietic and Lymphoid Neoplasm Coding Manual and Database.

See also the NAACCR 2015 Implementation Guidelines and Recommendations: The Hematopoietic Conversion Documentation.