Wiki metastasis to brain

darmandahl

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Hi,

Am I on the right track here?

Pt. Dx w/ uterine ca s/p successful hysterectomy, cancer free 4 yrs., however recent metastasis to the brain. Presenting for radiation therapy today.

I choose:

Z51.0, Radiation therapy

C79.31 Secondary malignant neoplasm of brain

Z90.710 Acquired absence of both cervix and uterus



Am I missing anything? Is C79.31 right?
 
You will also need a code form category Z85 which is personal history of Malignant neoplasm. It goes after C79.31.


ICD-10-CM Guideline I.C.2.d

Primary malignancy previously excised
When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy. Any mention of extension, invasion, or metastasis to another site is coded as a secondary malignant neoplasm to that site. The secondary site may be the principal or first-listed with the Z85 code used as a secondary code.
 
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