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Wiki BRCA 1 + ...Z15.01 and Z15.02?

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jfolz

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Hi diagnosis whizzes,

I am coding a case of prophylactic ovary removal due to the patient having a personal (remote) history of breast cancer and a newly gained positive BRCA 1 test. The only diagnosis the physician is stating besides the personal history of breast cancer is "BRCA 1+".
I coded it with Z15.02 genetic susceptibility to malignant neoplasm ovary, Z15.01 genetic susceptibility to malignant neoplasm breast, and Z85.3 personal history breast cancer.

Now I am being questioned as to why I added the Z15.02 (ovary). Everything I find online from the NIH and the American Cancer Society, Susan Komen...all the non-for profit sites I can find... indicate that a positive BRCA 1 indicate both a genetic susceptibility to breast and ovarian cancer and I certainly think the physician feels the same way or he would not be removing a non-breast body part...

Is there a better way to code "BRCA1 +". Have I missed a code or have I over-coded unintentionally? I would like to avoid querying the physician as to what he feels "BRCA1+" means clinically.:p

Thanks for any insight!
 
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