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Bilateral Diagnosis

I

IzumiTM

Contributor
Messages
11
Location
Murfreesboro, TN
I have a provider who is treating a patient with LT Diffuse Cystic mastopathy of left breast (N60.12) and RT Diffuse Cystic Mastopathy of Right breast (N60.11). This is a chronic condition that has been going on for 2 years. Would they get the points for addressing 2 chronic conditions since it's in both breasts?
 
IzumiTM said:
I have a provider who is treating a patient with LT Diffuse Cystic mastopathy of left breast (N60.12) and RT Diffuse Cystic Mastopathy of Right breast (N60.11). This is a chronic condition that has been going on for 2 years. Would they get the points for addressing 2 chronic conditions since it's in both breasts?
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Requiring two diagnosis codes to capture laterality does not mean there are two separate conditions.

Each breast does not have an independent treatment plan - the provider’s medical decision-making is based on the overall condition.
 
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