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2008 ICD-9-CM Volume 1 Diagnosis Codes Home > Neoplasms 140-239 > Malignant Neoplasm Of Other And Unspecified Sites 190-199 > Secondary And Unspecified Malignant Neoplasm Of Lymph Nodes 196.* > 2008 ICD-9-CM Diagnosis 196.5 Secondary and unspecified malignant neoplasm of lymph nodes of inguinal region and lower limb  On October 1, 2008 the 2009 ICD-9-CM codes came into effect. Therefore, this code may be out of date. The 2009 version of ICD-9-CM 196.5 can be accessed here. 196.5 is a specific code that can be used to specify a diagnosis View the ICD-9-CM Volume 1 196.* hierarchy 196.5 also known as: Femoral Groin Popliteal Tibial