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History of vs active cancer

D

dja214

Networker
Messages
33
Location
Lakeland, FL
Does anyone know when it is appropriate to use the "History of" code vs the active cancer code?
 
history of neoplasm

According to Faye Brown's ICD-9-CM Coding Handbook, " Once a malignant neoplasm has been excised or eradicated, periodic follow-up examinations are carried out to determine whether there is recurrence of the primary malignancy or any spread to a secondary site. When there is no evidence of recurrence at either a primary site or a metastatic site, the appropriate code from V67.x, Follow-up examination, is assigned as the principal diagnosis....The appropriate code from category V10 should be assigned as an additional code." If the patient has completed all treatment and follow-up visits, and there has not been a documented recurrence of the malignancy, then omit the V67.x code and assign the V10 code as appropriate.

Hope this helps.

Karen
 
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