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Old 10-21-2010, 10:34 AM
kboyd22 kboyd22 is offline
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Default ICD9 Help-ductal adenocarcinoma of breast

I am trying to figure out what ICD 9 code to use for poorly differentiated ductal adenocarcinmoa of the breast. The doctor states ER positive which I know will be V86.0, and that no lymph nodes are involved, but that is all it states.
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Old 10-22-2010, 12:33 AM
srinivas r sajja srinivas r sajja is offline
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174.8?
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Old 10-22-2010, 05:11 AM
abc1099 abc1099 is offline
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I would code 174.9 because they are not telling you the location in the breast.
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Old 10-22-2010, 12:49 PM
krssy70 krssy70 is offline
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I would use 174.8 unless you know the exact location of the mass....
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Old 10-22-2010, 03:18 PM
Abbi Schoenhofer Abbi Schoenhofer is offline
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I would choose the 174.9 if your physician does not state a location in the breast. If he states a location, then you would code by quadrant...or if overlapping sites of unknown origin, then you would use the 174.8...hope that helps!
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Old 10-23-2010, 01:51 PM
preserene preserene is offline
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sDuctal carsinoma breast occurs in the ducts of the breast. not in the breast (lobar tissues). So duct is located in all the quadrants of the breast and it can be uni or (more often) multiple foci, meaning many areas of the ductal system. It is a specified site/architecture within the breast
So I go sure with the group of collegues with 174.8, unless there is acode opened for ductal system separately
As such when we do not have one separately for ducts of the breast, how are we fix the histological types of diffentiated , undifferentiated or poorly diffentiated.
Since the ducts traverse in all quadrants of the breast and all those quadrants are contained in 178.8 is yet another point for validation to 178.8. Poorly differnciated means severely aggressive in its behaviour


Hope it helps you to ponder and clarify

Last edited by preserene; 10-23-2010 at 02:14 PM.
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