A "metastatic neoplasm" indicates that the neoplasm is a result of a metabolic imbalance and should be coded from the uncertain behavior column.

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A metastatic neoplasm refers to cancer that has spread from its original site to other parts of the body, not a result of metabolic imbalance. It should be coded based on its primary site and metastatic nature, not from the uncertain behavior column.

A "Metastatic Neoplasm" Indicates That the Neoplasm Is a Result