marycpc
Contributor
If a patient is diagnosed with recurrent gastric cancer, is the code 151.9 and v10.04?
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Wiki Recurrent cancer dx
- Thread starter marycpc
- Start date
Tonyj
True Blue
If it's recurrent wouldn't it be 151.9 instead of history of? It's my understanding that history of is used if the patient has NED x 5 years.
marycpc
Contributor
Thanks Tonyj. I was very skeptical about using the V code since it's not really history of. I did some digging and found that history of is used for cancer that is no longer being treated. If it is recurrent, it's being treated.
sluke9
Guest
Mary,
Where did you find that information? We are having a discussion when auditing for HCC's to determine what constitutes active cancer vs. history of.
Thanks
Where did you find that information? We are having a discussion when auditing for HCC's to determine what constitutes active cancer vs. history of.
Thanks
Tonyj
True Blue
Check the ICD9 conventions Section 2 part d. I could not find documentation on a time frame unfortunately but it states if there's no evidence of disease and no treatment being administered then you could use the history code.