Reader Question:
C34. Requires Location for Malignant Neoplasm of Main Bronchus
Published on Mon Jan 08, 2001
Question: Can you outline ICD-10 changes for malignant bronchial neoplasms? Our radiology practice frequently codes for these.Washington SubscriberAnswer: ICD-9 2011 and ICD-10 2011 both have coding options for a malignant neoplasm of the main bronchus. Both indicate that the codes are appropriate for malignant neoplasms of the carina or hilus of lung.What's different: ICD-9 2011 includes simply 162.2 (Malignant neoplasm of main bronchus).ICD-10 2011, on the other hand, offers options specific to location:Unspecified: C34.00 -- Malignant neoplasm of unspecified main bronchusRight: C34.01 -- Malignant neoplasm of right main bronchusLeft: C34.02 -- Malignant neoplasm of left main bronchus.ICD-10 2011 also lists an instruction to "Use additional code to identify":Exposure to environmental tobacco smoke (Z77.22)Exposure to tobacco smoke in the perinatal period (P96.81)History of tobacco use (Z87.891)Occupational exposure to environmental tobacco smoke (Z57.31)Tobacco dependence (F17.-) Tobacco use (Z72.0).