Wiki dx clarification

[midnightsun1369]

Hello,

After reviewing the guidelines it states that signs and symptoms are not to be coded if a definitive dx has been documented.

Physician documents 2 diagnoses, lung nodule and malignant neoplasm of lung.

so my question is would I code the lung nodule as 793.11 and lung neoplasm as 162.9, or would it only be 162.9 because the lung nodule is under signs and symptoms and there is a definitive dx of lung cancer?

Thanks for your input.

 

[mitchellde]

If the lung Cancer was diagnosed from the nodule then you code only the neoplasm. If the neoplasm was already diagnosed and there is a new nodule then code both.