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Z17.0 code

  1. Default Z17.0 code
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    Good morning,

    Does anybody code the Z code along the with malignant breast code when billing the ACIS with ER positive?


  2. #2
    AAPC Woodbridge (VA) local
    For in-situ? Ductal or lobular CIS that codes to D05.-, no.

    Only for primary malignant carcinoma/adenocarcinoma that codes to the C50.- family tree. The notation to use additional code for the ER +/- status only appears under the C50.- tree. If the ER +/- status is noted or your path ran markers for it and documented it, you should include it after the principle code for the breast cancer. If you use 3M or a similar encoder logic program, it should also remind you to add it if available.

    The ER/PR/Her-2 receptor tests help the treating physician in determining how to treat invasive carcinoma and creating a targeted plan of treatment for a specific patient.
    Laurie S Lemons, CPC

    Coder I, Surgical Pathology
    Inova Health Systems

    2019 President
    2018 Past Education Officer/VP
    2015-16 Past President
    AAPC Woodbridge, VA chapter

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