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Ductal Carcinoma In Situ w/ Microinvasive Carcinoma Breast

AimeeNK31

New
Messages
8
Location
Fort Myers, FL
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0
I came across a path report recently where the diagnosis was "ductal carcinoma in situ breast with a microfocus of invasive carcinoma." Would I code 233.0 for the DCIS or 174.4 to account for the highest severity with the invasive component? Thank you.
 

danachock

Guru
Messages
170
Location
Brainerd, MN
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0
Breast Cancer

You will want to code both the 233.0 for the in situ AND also 174.9 for the invasive carcinoma. It may have been a typo or not when you entered the 174.4 - but it doesn't state what part of the breast the biopsy came from in your notes.
Thanks,
Dana Chock CPC, CCA, CANPC, CHONC
Anesthesia, Pathology and Laboratory Coder
 
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