Eli's Hospice Insider
Nail Cancer Codes Under ICD-10
PDF
Tip: You’ll need to look for greater specifics under the new coding system.
Question: How should we code malignant breast cancer with metastasis to liver and bone?
Answer: You’ll report the breast cancer first using a primary malignant neoplasm code, says coding expert Lisa Selman-Holman of Selman-Holman & Associates and CoDR -- Coding Done Right in Denton, Texas. You also need to list secondary neoplasm codes for the liver and bone metastasis.
Breast: The medical record should identify the location of the tumor to allow you to use the most specific diagnosis code for that site, such as 174.1 (Malignant neoplasm of central portion of female breast). If documentation doesn’t show the specific location, the correct code for the breast cancer is 174.9 (Malignant neoplasm of breast [female] unspecified site).
Under ICD-10-CM, the code will vary based on the breast involved (for example, C50.111, Malignant neoplasm of central portion of right female breast).
Metastatic sites: You also should code the metastatic cancer. You mentioned liver, which you should report as 197.7 (Malignant neoplasm of liver secondary). For the bone metastasis, report 198.5 (Secondary malignant neoplasm of bone and bone marrow).
Under ICD-10-CM, look to C78.7 (Secondary malignant neoplasm of liver and intrahepatic bile duct) and C79.51 (Secondary malignant neoplasm of bone) or C79.52 (Secondary malignant neoplasm of bone marrow).
Tennessee Subscriber
Eli's Hospice Insider
- Compliance:
OIG OKs Free Program Offering Non-Skilled Services
3 factors keep proposed arrangement in the clear. The OIG has put its stamp of [...] - Kickbacks:
Beware Pitfalls In Furnishing Bridge Services
Follow these 5 steps to compliance. If you want to protect your free [...] - Reimbursement:
Keep '42' Codes Straight, CMS Tells Providers
Also: You’re still responsible for your quality data submission, not your vendor. Even if you [...] - Diagnosis Coding:
Take These 6 Steps To ICD-10 Transition Success
A working budget should encompass every aspect of planning, including productivity training. With [...] - Hospice News:
Hospice Settles Qui Tam Suit for $1.3 Million
Hospice owner personally liable for $200K. More evidence that the feds are cracking down on [...] - Hospice News:
OIG Highlights Marketing, GIP Fraud
The HHS Office of Inspector General’s latest semiannual report is playing the agency’s greatest hits [...] - Hospice News:
Keep Your Quality Data Reporting Duties Straight In New Year
January will be a busy month for hospices, quality reporting-wise. The hospice quality reporting program [...] - Hospice News:
Benchmark Yourself With This LOS Data
Want to see where you stack up against your peers when it comes to non-cancer [...] - Hospice News:
Check Out This Educational Resource
If you’re seeking educational materials to introduce the concept of palliative care to your patients, [...] - Hospice News:
Data Mining To Drive Investigations
If your billing patterns make you stick out like a sore thumb, you may see [...] - Hospice News:
Make Sure Your Records Are Legible
If paper records make up any part of your charting system, you’d better pay attention [...] - Reader Question:
Nail Cancer Codes Under ICD-10
Tip: You’ll need to look for greater specifics under the new coding system. [...]