Office disagreement

Kimberley

Expert
Messages
286
Location
Nashville
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Is breast nodule coded 611.72 or 793.89? When you look up nodule, breast in dx code book it brings you to 793.89.

Thanks:)

Kimberley Tober, CPC
Franklin, TN
 

RebeccaWoodward*

True Blue
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3,126
Location
North Carolina
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Depends on how it was detected....

611.72= A lump or mass in the breast can often be detected by hand.


793.89=Other abnormal findings on radiological examination of breast
 

heiditipherwell

Networker
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75
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I code for radiologists and find that I will use both of these for nodule, depending upon how it is described in the findings. If it sounds more like a mass then I go with 611.72. If it sounds like they see something on the mammo, but they are not sure what, I go with the 793.89. You can pretty much get a feel for their overall view of it when reading the report.
Hope that helps.
Heidi
 

tmlbwells

Guru
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131
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I code for radiologists as well and our current direction is 793.89 for a nodule, 611.72 for a mass.
 
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