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Oncology & Hematology Coding Alert

Reader Question:

Report 203.xx With 198.5

Published on Tue Aug 26, 2003

Question: A coworker at our oncology practice told me that I should never report 203.xx (Multiple myeloma) with 198.5 (Neoplasm; bone and bone marrow). Is she correct?

Kentucky Subscriber Answer: No. If your oncologist treats a patient for bone metastasis, which resulted from a primary neoplasm such as multiple myeloma (203.xx), you can report 198.5 along with the primary diagnosis. However, carriers do not require you to report the cancer diagnosis in addition to the bone metastasis.
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