Wiki Mixed phenotype carcinoid

[dtricia]

How are others coding a goblet cell carcinoid that the path report reads
'adenocarcinoma arising from appendiceal goblet cell carcinoid

the provider coded as adenocarcinoma. I am leaning towards the carcinoid. It has metastasized to ovary.
I would have NEC 209.29, secondary NEC 209.74

Thanks for input
Tricia

 

[alannae]

If possible, I would take both descriptions to the physician to review and verify his original code selection. I would ask him is he is treating it as adenocarcinoma as a way to clarify his position. If he chooses adenocarcinoma as opposed to carcinoid, then that is what I would code.