C4A: Merkel cell carcinoma
C4A.5: Merkel cell carcinoma of trunk

excludes2
malignant neoplasm of anus NOS (C21.0)
malignant neoplasm of scrotum (C63.2)
C4A.51: Merkel cell carcinoma of anal skin
C4A.52: Merkel cell carcinoma of skin of breast
C4A.59: Merkel cell carcinoma of other part of trunk

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