cancer

  1. W

    Wiki Coding for malignancies- active and historical

    Hello, I am hoping to get some clarification on a coding scenario I recently came across. The documentation states cancer with active treatment of prostate and also personal history of prostate cancer treated with Lupron by the VA in 2017. When I queried the provider to see if it is active or...
  2. M

    Wiki Well-differentiated neuroendocrine (carcinoid) tumor?

    Hi everyone, I have a patient with a diagnosis of well-differentiated neuroendocrine tumor (carcinoid). In ICD-10, carcinoid is broken down into either benign or malignant, and the default for neuroendocrine is benign with a subterm of malignant poorly differentiated. Well-differentiated is not...
  3. M

    Wiki CA Dx - WTC Twin Towers Medical Plan

    Hello, I have a patient who was involved in rescue efforts at the Twin Towers on 9/11. He subsequently developed cancer on his palate. The patient had surgery to remove the cancer, but this left a defect that needed surgery at a later date. That's where our plastic surgeon came into the...
    • mwolpert
    • Thread
    • cancer icd 10 oral cancer reconstruction
    • Replies: 2
    • Forum: ICD-10
  4. A

    Wiki History of code for secondary cancer

    Do you use a "History of" code for a secondary cancer? For example, the patient is in for a 2017 followup visit. She was diagnosed in 2005 with breast cancer. In 2007 she had metastasis to her bones. Do you code Z08, Z85.3 or do you code Z08, Z85.3, Z85.830 (history of bone cancer)? I...
  5. D

    Wiki metastasis to brain

    Hi, Am I on the right track here? Pt. Dx w/ uterine ca s/p successful hysterectomy, cancer free 4 yrs., however recent metastasis to the brain. Presenting for radiation therapy today. I choose: Z51.0, Radiation therapy C79.31 Secondary malignant neoplasm of brain Z90.710 Acquired absence...
  6. L

    Wiki When and How to Code Current and Past Cancer Diagnoses

    Question: How often should cancer diagnosis be reported? Is it to be reported on ALL procedures following the active diagnosis of cancer? Example: If a patient has active cancer, but they are getting bloodwork/EKG/Urinalysis for a condition NOT RELATED to their cancer diagnosis, is cancer...
  7. M

    Wiki Pre-radiation tooth extractions

    Good morning. I have been searching the web this morning for an answer, but decided to ask here. I bill for Oral Surgeons, who at times extract carious teeth for Medicare patients who have cancer before they begin radiation treatment. Pre ICD 10 we used V07.8 with the cancer diagnosis and it...
  8. E

    Wiki Cancer coding primary vs. secondary - My confusion.

    I haven't coded cancer for a practice before, as I'm usually coding for pain management, but these scenarios are subsequent hospital visits billing for physician visits. Below are the physician's ENTIRE dictation at each encounter, but I'm ONLY confused as to what I am coding for the CANCER...
  9. S

    Wiki established pt. - consult

    I work in an Oncology clinic and our Dr. has been seeing a pt. for Multiple Myeloma which is now in remission. His last follow-up on that problem was in Jan. of 16. He has done a Consult (99205), Jan. 2016 on the same pt. for another Dr. for a different dx. (prostate cancer). Can you charge...
    • shelly1966
    • Thread
    • 2016 cancer consult jan prostate
    • Replies: 2
    • Forum: E/M
  10. C

    Wiki Coding active cancer vs. history of cancer

    My physician (an extremely brilliant pulmonologist) is stating that if his patient had lung cancer that was treated, he considers that cancer "active" until 5 years have passed since the treatment and he would like to use a "current" lung cancer diagnosis. He does not consider the cancer...
  11. E

    Wiki medicare auditing for payor

    When coding charts for Medicare audits: If a pcp is coding cancer as current and the specialist is saying the patient is in remission can we change the pcp code to hx of cancer?
  12. ljones88

    Wiki Patient with history of nasopharyngeal cancer comes for laryngoscopy

    Hi, I searched the threads and couldn't find a thread related to my issue. An established patient with a history of nasopharyngeal cancer is seen in the office for a laryngoscopy. Physician also documents an E/M and removed impacted cerumen from the ears. Patient completed chemo and radiation...
  13. H

    Wiki how to determine new vs est pt in the fac setting

    I have recently started coding for our hospital owned cancer center. The cancer center and the hospital have same tax id. The physicians professional fee billing is done by an outsied source under that companies tax ID and the phy NPI. I was told the facility bills are billed under the...
    • herbolky
    • Thread
    • cancer center fac em coding same tax id hospital new/est pt
    • Replies: 1
    • Forum: E/M
  14. M

    Wiki Family history - I am having problems with icd 10

    I am having problems with icd 10 code z80.0 denying stating not a valid code. Is anyone else having that problem? The patient is having a screening scope, so i used the z12.11 first then i used the z80.0 as father had colon cancer. The z80.0 is denying as invalid. Suggestions?
  15. bproosow

    Wiki Active or History? Follow-up oncology visit with no further treatment

    We are having a heated debate here on this subject. Here is the scenario: Patient has cancer, let's just say colon cancer. Goes in for hemicolectomy. Surgery goes well, margins are clear, NED. Up to this point we are coding for the colon cancer. Patient goes for his first follow-up visit with...
  16. bproosow

    Wiki Coding for post-op oncology visit with no further treatment

    We are having a heated debate here on this subject. Here is the scenario: Patient has cancer, let's just say colon cancer. Goes in for hemicolectomy. Surgery goes well, margins are clear, NED. Up to this point we are coding for the colon cancer. Patient goes for his first follow-up visit...
  17. A

    Wiki coding secondary/metastatic CA

    ONCOLOGY CODING EXPERT NEEDED!!! As an auditor for a physician group, I have been getting complaints about the coding of secondary cancer(s). I have reviewed a few of the other threads here, stating that if secondary site is coded, primary should be coded as well. I used to teach coding & I...
  18. C

    Wiki Breast reduction on contralateral breast

    We have a patient who was diagnosed with breast cancer in her right breast and Medicare paid for the right breast reconstruction. Medicare denied 19318-LT, the left breast reduction which was needed to make the breasts symmetrical. Diagnoses for left breast are: Macromastia & Breast Asymmetry...
  19. N

    Wiki Oncology Coding

    I currentley am a CPC and have primary done E&M coding. Can anyone give me some information regarding oncology coding. I am looking for resources to further my knowledge. I would appreciate any help. Thanks
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