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diagnosis code question - hysterectomy and bilateral

K

krssy70

Guru
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236
Location
East Providence, RI
Does anybody know the difference between 182.0 and 182.8. The following is the dictation from the physician.

Pathology from surgery is reveiwed and is as follows: Uterus, bilateral adnexa, total hysterectomy and bilateral salpingo-oophorectomy: High grade serous adenocarcinoma of endometrium; full thickness myometrial invasion; approximately 36% cervical stromal invasion; lymph-vascular space invasion is present; adenomyosis; atrophic left and right ovaries; unremarkable left and right fallopian tubes. Right pelvic lymph nodes, excision: Metastatic carcinoma in one of ten lymph nodes.

So with this, would you code 182.0 or 182.8???

Please help???
 
It is a rare form of the Endometrial cancer ; affects the post menpausal age group and with presentation of Post menopausal bleeding.
It is a cancer originating necessarily from the ENDOMETRIUM of the uterus- ie, the lining of the uterine cavity of the BODY of the uterus. Then it starts invading myometrium , cervix of the uterus and so on.

So the code description of the 182.0 ( ENDOMETRIUM, Corpus UTERI would be the ideal one
 
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