Wiki spinal tenosis vs bone mets

[JTE79]

spinal stenosis vs bone mets

Patient has rectal cancer with metastatic to T12 and is being treated palliatively to reduce the stenosis to the spinal cord.
codes 724.01 spinal stenosis thoracic region
code 198.5 bone mets
code 154.1 mallignant neoplasm of the rectum
The treatment is to reduce the stenosis to T12.

What code is listed first? The mets or the stenosis?

 

[emcee101]

code first the condition that is being treated at each visit, or is chiefly responsible for the services provided.

You can reference ICD-9 guidelines IV.H and IV.M for the guidelies that discuss this topic as well.