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Wiki Metastatic cancer

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Cynthia A

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can you please help clarify. This person has metastatic prostate cancer. Can you please let me know how to code this? I know that the primary site is the prostate and that the cancer has spread. The H/P indicate that he had a prostatectomy with mets to bone. this is only documented in the H/P and not in the progress notes. I am coding for a hospitialist group
 
If you are coding the progress note and the doctor only says 'metastatic prostate cancer' without saying the bony mets, I would not add it. I would only code the 185
 
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