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Pathology/Lab Coding Alert

ICD-10:

D05: Breast Cancer 'In situ' Expands Beyond 233.0

Published on Mon Jun 04, 2012

Update ER/PR status codes, too. You'll face significant changes in how you report in situ breast cancers once ICD-10 goes into effect -- even if you'll have a little longer to prepare for the switch. Don't forget: CMS has announced a proposed implementation date delay from Oct. 1, 2013 for the new diagnosis code set. The new implementation date is not yet finalized. Look for Specific Type, Location in ICD-10 While ICD-9 provides just one code for in situ breast cancer (233.0, Carcinoma in situ of breast), you'll have 12 codes to choose from when ICD-10 goes into effect. The new code set divides these cancers into four categories by "type": lobular, intraductal, other specified, and unspecified. You'll also need to designate whether the tumor is from the left, right, or unspecified breast. Here are the ICD-10 crosswalk code choices for 233.0: D05.00 -- Lobular carcinoma in situ of unspecified breast D05.01 -- [...]
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