Results 1 to 5 of 5

LCIS lobular carcinoma situ

  1. #1
    Cool LCIS lobular carcinoma situ
    Medical Coding Books
    I felt this was a good place to start for all of you experts out there.
    I have a patient who from the pathology report was dx with LCIS, hence no malignancy found.
    In the ICD-9 index, it brings you to a cancerous dx M8520/2 (but this is for invasive)
    Lobular carcinoma situ is a marker of a patient who is at risk for developing a real cancer sometime in the future. So I consider this to be a neoplasia.
    Question: what dx code should we chose?
    I choose 238.3 since it is uncertain behavior, I did not choose 217 since the path didn't read it was benign. I am certainly not going to follow the guidelines and give the patient a cancer code since the MD just told her is was not cancerous. I just want to see if anyone else see's it the way I understand it.
    Your input is greatly appreciated. Thanks

  2. #2
    Default LCIS follow-up
    You ask a great question. After checking with two Physicians, I confidently agree with your code selection. Clear distinction between DCIS and LCIS as you noted, but people get confused or don't know the difference. Nice catch, coder. American Cancer Society agrees as well. Great example of "uncertain behavior"
    CPC, CHONC in MN

  3. #3
    Columbia, MO
    LCIS of breast is 233.0 it is not uncertain it is in situ. 233.0 includes LCIS.

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Columbia, MO
    LCIS of breast is 233.0 it is not uncertain it is in situ. 233.0 includes LCIS.

    Debra A. Mitchell, MSPH, CPC-H

  5. Default Carcinoma in-situ
    when I look up Carcinoma, lobular , specified site-it says to see Neoplasm, by site, in situ 233.0.
    I was always told 'uncertain behavior' was for use by pathology.
    Tricia D

Similar Threads

  1. Ductal Carcinoma In Situ w/ Microinvasive Carcinoma Breast
    By AimeeNK31 in forum Diagnosis Coding
    Replies: 1
    Last Post: 08-17-2014, 06:02 PM
  2. personal h/o carcinoma in situ of breast/ductal
    By rkennedy in forum Diagnosis Coding
    Replies: 6
    Last Post: 04-25-2013, 05:27 PM
  3. squamous cell carcinoma in situ
    By cristyb in forum Plastic Surgery
    Replies: 2
    Last Post: 04-25-2013, 05:41 AM
  4. Hx of Carcinoma in situ
    By kewing in forum Diagnosis Coding
    Replies: 3
    Last Post: 05-21-2012, 02:03 PM
  5. What icd9 code for history lcis?
    By KATHYCARR in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-04-2012, 12:51 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.