Oncology & Hematology Coding Alert

Question: The physician's documentation shows a neoplasm with uncertain behavior of the female genital organs. Which diagnosis code(s) should I select? Do you have any helpful diagnoses guidelines for this code(s)? Georgia Subscriber Answer: The diagnosis codes from which you should select include but are not limited to:
236.0 Neoplasm of uncertain behavior; of the uterus
236.3 ... other and unspecified female genital organs
V10.43 Personal history of malignant neoplasm; ovary
V10.44 ... other female genital organs. Check the subhead under which you find these codes for other relevant codes for unspecified behavior of a neoplasm in the ovaries or fallopian tubes or any other genital organs. These codes do not describe the differential diagnosis of patients with pelvic masses and sensitivity, so you want to verify that the neoplasm's presence is in a genital organ. You Be the Coder and Reader Questions include contributions by Nancy Martin, CPC, at ACT Medical Group in S.C; Cindy Parman, CPC, CPC-H, RCC, at Coding Strategies Inc.; and were reviewed by Margaret M. Hickey, MS, MSN, RN, OCN, CORLN, an independent coding consultant based in New Orleans; and Linda L. Lively, MHA, CCS-P, RCC, CHBME, founder and CEO of American Medical Accounting and Consulting in Marietta, Ga.