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Wiki breast cancer recurrence

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JTE79

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Arnold, MO
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Dr note states recurrence of breast cancer in the chest wall.
The patient has had several years since initial treatment and a mastectomy.

Is this coded as mets to the chest wall with a history of breast cancer or is it coded as the original cancer ex: RUL with ER+. Or per my doctors direction chest wall primary with a history of breast cancer.
I have coded it as mets to the chest wall with history. If I had to code it differently I would code it as the original breast cancer code.
Any thoughts?
Thanks,
Jennifer
 
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