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Benign vs uncertain behavior

  1. #1
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    Northeast Kansas AAPC
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    279
    Default Benign vs uncertain behavior
    Medical Coding Books
    Patient presented with history of previous squamous cell carcinoma of the anal area and underwent excision of another perianal area. Pathology comes back as diagnosis being moderate to severe dysplasia, no invasive carcinoma identiified. However, under the comments it states changes are consistent with a high grade dysplasia/carcinoma in situ. Would I use benigh or uncertain behavior for diagnosis?

    Thanks

  2. #2
    Location
    Columbia, MO
    Posts
    12,913
    Default
    No, consistent with is not the same as uncertain behavior, code the dysplasia only with h/o the cancer.

    Debra A. Mitchell, MSPH, CPC-H

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