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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 Malignant Neoplasm Of Respiratory And Digestive Systems 197.* > 2008 ICD-9-CM Diagnosis 197.1 Secondary malignant neoplasm of mediastinum  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 Therefore, this code may be out of date.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 197.1 can be accessed here. The spread of the cancer to the mediastinal. This may be from a primary mediastinal cancer, or from a cancer at a distant site. 197.1 is a specific code that can be used to specify a diagnosis View the ICD-9-CM Volume 1 197.* hierarchy