Radiology Coding Alert

Hepatocellular carcinoma and hepatoblastoma will no longer share a code.When you start using ICD-10 in 2013, prepare to choose from a longer list of codes for primary liver neoplasms than you do now under ICD-9.ICD-9: A number of diagnoses fall under the ICD-9 code you currently use:155.0, Malignant neoplasm of liver primary Carcinoma: liver, specified as primary hepatocellular liver cell HepatoblastomaICD-10: The new code set does not provide a one-to-one corresponding code. Instead, you'll need to choose from a number of possibilities:C22.0, Liver cell carcinoma Hepatocellular carcinoma HepatomaC22.2, HepatoblastomaC22.3, Angiosarcoma of liver Kupffer cell sarcoma C22.4, Other sarcomas of liverC22.7, Other specified carcinomas of liverC22.8, Malignant neoplasm of liver, primary, unspecified as to typeDocumentation: If your practice's current documentation format doesn't allow quick access to whether the patient's diagnosis is hepatoma rather than hepatoblastoma or angiosarcoma, add the C22.- diagnoses to your provider education and clinical documentation improvement strategy in [...]