metastatic lung and liver cancer

bjmon83

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Dictation states that patient has newly found metastatic lung and liver cancer. Looking back at notes I can't find that he has had cancer before. Do I code both as secondary cancers? Or is one of these considered primary and how do I know which?

Thanks.

Bobbe Jo
 

fos123coder

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Hi Jo
I am Donald, currently doing the Medical Coding course at Penn Foster College. I know the answer to your question, since no mention was made of a primary cancer; you code both as secondary cancer, primary site unknown. You may sequence either first.

Check this out, a code for primary of unknown site.

Enjoy the rest of your day
 

mitchellde

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Correct you code the mets first and unknown primary as the secondary code. there is an AHA coding clinic that addresses this issue if you need back up.
 
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