Wiki Flex Larynoscopy

[LadyT]

Help please... Dr. is seeing pt every 6 mos & doing a flex larynoscopy to check for reoccurance of SCC of larynx. Do I use V10.21 history of neoplasm of larynx or the161.9? The pt has completed radiation therapy & currently has no signs of cancer.

 

[philwjp]

Laryngoscopy, Flexible

You would use the current dx code the patient has on that day. Our Medicare payer has added this dx to the LCD and Medicare pays.

 

[myeo]

You would use history of malignant neoplasm

 

[LadyT]

You would use the current dx code the patient has on that day. Our Medicare payer has added this dx to the LCD and Medicare pays.

So you are saying history of because on that DOS pt was cancer free?