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Malignant Neoplasm of the Renal Pelvis and Ureter B044

Document
Last amended 
28 June 2015

Current RMA Instruments:

Reasonable Hypothesis SOP98 of 2011
Balance of Probabilities SOP99 of 2011
Changes from Previous Instruments:

SOP Bulletin 153

ICD Coding:
  • ICD-9-CM Codes: 189.1,189.2
  • CD-10-AM Codes: C65, C66, C07
Is specific diagnostic evidence required to apply the SOP?No.
Are there sub-factors that require specific information? – No.

Additional diagnoses covered by SOP

  • Adenocarcinoma of the renal calyx, renal pelvis, pelviureteric junction or ureter
  • Neuroendocrine carcinoma (including malignant carcinoid) of the renal calyx, renal pelvis, pelviureteric junction or ureter
  • Squamous cell of the renal calyx, renal pelvis, pelviureteric junction or ureter
  • Carcinoma in situ of the renal calyx, renal pelvis, pelviureteric junction or ureter
  • Carcinoma of the renal calyx, renal pelvis, pelviureteric junction or ureter
  • Transitional cell of the renal calyx, renal pelvis, pelviureteric junction or ureter
Related conditions that may be covered by SOP (further information required)
  • Cancer of the renal pelvis, renal calyx or ureter
  • Renal pelvic and ureteric cancer
Conditions not covered by SOP
  • Hodgkin’s lymphoma of the renal calyx, pelvis or ureter, ICD code 201.9
  • Malignant neoplasm of ureteric orifice of bladder, ICD code 188.6
  • Non-Hodgkin’s lymphoma of the renal calyx, pelvis or ureter, ICD code 202.8
  • Secondary/metastatic cancer involving the renal calyx, pelvis or ureter (code to primary site)
  • Soft-tissue sarcoma of the renal calyx, pelvis or ureter, ICD code 171.8
Unconfirmed diagnosis

If, after applying the above information, you are unable to confirm the diagnosis, you should then:

  1. seek medical officer advice about further investigation, or;
  2. generate a diagnostic report, or;
  3. re-encode the condition, if appropriate.

The following investigations may be useful in establishing the diagnosis:

  • A histopathology report
  • A report from a treating specialist