Pathology/Lab Coding Alert

Apply the same PIN rules even when the codes change.If you don't have any trouble using the ICD-9 neoplasm table, you shouldn't have a hard time transitioning to ICD-10 neoplasm codes starting Oct. 1, 2013.For example, here's how the two code set options for malignant prostate cancer coding compare:ICD-9: Under ICD-9, your prostate neoplasm options include:Primary: 185, Malignant neoplasm of prostateSecondary: 198.82, Secondary malignant neoplasm of genital organsCa in Situ: 233.4, Carcinoma in situ of prostate. If you report prostatic intraepithelial neoplasia (PIN), you should use 233.4 for PIN III. But you should use 602.3 (Dysplasia of prostate) for PIN I or PIN II.ICD-10: Your ICD-10 options offer up familiar terms:Primary: C61, Malignant neoplasm of prostateSecondary: C79.82, Secondary malignant neoplasm of genital organsCa in Situ: D07.5, Carcinoma in situ of prostate.If you report PIN III, you should use D07.5. For PIN I or PIN II, you should use N42.3 (Dysplasia [...]