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Dx for papillary bladder tumor

  1. #1
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default Dx for papillary bladder tumor
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    I am looking for the diagnosis for papillary bladder tumor but I keep coming to dx C67.9. There is no path, and the doctor doesn't mention that it is malignant so what would be the appropriate diagnosis? D 41.4 ? D30.3 ?

    TIA
    KAM

  2. #2
    Location
    Portland Rose City Oregon Chapter
    Posts
    39
    Default
    It's a little unclear because your provider doesn't really provide enough information with just "papillary bladder tumor."

    I would code this as D49.4 (neoplasm of unspecified behavior of bladder).

    From this presentation:

    http://www.advanceweb.com/web/Advert...lSolutions.pdf

    "Diagnoses documented as growth, new growth, neoplasm, or tumor without further specification, are coded to D49. Category D49 classifies neoplasms of unspecified morphology and behavior by site."

    In contrast, if the provider simply reported "bladder mass," then I would code it as N32.89 (other specified disorders of bladder).

    In your example, the indication that it is a tumor allows us to classify it as a neoplasm. The unspecified morphology indicates that we don't yet know if it is malignant or benign.

    Hope this helps.

    Sincerely,

    Drew Vinson
    CPC
    NW Urology

  3. #3
    Location
    Lewiston-Clarkston Chapter
    Posts
    78
    Default


    Thank you so much for the great input!! I truly appreciate it and it really clears things up for me.

    KAM

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