Results 1 to 7 of 7

611.72 or 174.9

  1. #1
    Default 611.72 or 174.9
    Medical Coding Books
    Order states BREAST CANCER

    BILATERAL BREAST MRI WITH CONTRAST 3/31/09

    HISTORY: LEFT BREAST CANCER

    MULTIPLE SEQUENCES WERE PERFORMED WITHOUT AND WITH IV CONTRAST. THERE IS A ENHANCING MASS I THE MID LATERAL LEFT BREAST, MEASURING 2.1 X 2.7 CM. THERE IS MALIGNANT TYPE ENHANCEMENT CONSISTENT WITH PATIENT'S KNOWN HISTORY OF CANCER. THE MASS IS IMMEDIATELY ADJACENT TO LEFT BREAST IMPLANT AND IS CLOSE TO THE SKIN. NO ADDITIONAL MALIGNANT TYPE ENHANCING LESION NOTED. THERE ARE BILATERAL BREAST IMPLANTS IN PLACE WITH EVIDENCE OF INTRACAPSULAR RUPTURE BILATERALLY. THERE IS NO LYMPHADENOPATHY.

    IMPRESSION: ENHANCING NODULE LEFT BREAST CONSISTENT WITH PATIENT'S KNOW HISTORY OF CANCER. NO ADDITIONAL MALIGNANT TYPE ENHANCING LESION NOTED.

  2. #2
    Default
    Until/Unless there is a biopsy performed confirming cancer I would code this to a mass 611.72.

  3. #3
    Default
    Even if order and history state BREAST CANCER????

  4. #4
    Default
    Yea, I think I still would until there is a biopsy finding. Especially if the patient's current status is only a history of malignancy. Coupled with the Impression section calling it an "enhancing nodule" and not a malignancy. I guess you could always double check with them before you code anything. Just my thought process. Have a good day!

  5. #5
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Quote Originally Posted by Kimberley View Post
    Order states BREAST CANCER

    BILATERAL BREAST MRI WITH CONTRAST 3/31/09

    HISTORY: LEFT BREAST CANCER

    MULTIPLE SEQUENCES WERE PERFORMED WITHOUT AND WITH IV CONTRAST. THERE IS A ENHANCING MASS I THE MID LATERAL LEFT BREAST, MEASURING 2.1 X 2.7 CM. THERE IS MALIGNANT TYPE ENHANCEMENT CONSISTENT WITH PATIENT'S KNOWN HISTORY OF CANCER. THE MASS IS IMMEDIATELY ADJACENT TO LEFT BREAST IMPLANT AND IS CLOSE TO THE SKIN. NO ADDITIONAL MALIGNANT TYPE ENHANCING LESION NOTED. THERE ARE BILATERAL BREAST IMPLANTS IN PLACE WITH EVIDENCE OF INTRACAPSULAR RUPTURE BILATERALLY. THERE IS NO LYMPHADENOPATHY.

    IMPRESSION: ENHANCING NODULE LEFT BREAST CONSISTENT WITH PATIENT'S KNOW HISTORY OF CANCER. NO ADDITIONAL MALIGNANT TYPE ENHANCING LESION NOTED.
    I'd code the breast cancer... because it clearly states that there IS malignant type enhancement consistent with patients known history of cancer AND the impression also says "enhancing nodule left breast consistent with patients know history of cancer" goes on to say no additional malignant type enhancing lesion noted. BUT there is at least ONE..
    Donna, CPC, CPC-H

  6. #6
    Location
    Morgantown
    Posts
    44
    Default
    The order states breast cancer 174.9. The beginning of the reading states pt history of breast ca. I would code it out as history of magliancy of the breast v? Dont know the code off of my head. I would also code out the finding of the nodule in the breast. That is just my thought process.
    Kimberely K. Graham, CPC, CPC-H

  7. #7
    Default
    I agree....I would code 611.72 and the h/o v10.3...unless you have the path and it confirms the breast cancer came back.

Similar Threads

  1. Breast Cancer DX 174.0
    By dtricia in forum Hematology/Oncology
    Replies: 2
    Last Post: 04-16-2014, 09:51 AM
  2. 611.72
    By fareedercoder@gmail.com in forum E/M
    Replies: 3
    Last Post: 07-14-2012, 01:56 PM
  3. dx 611.71
    By amescr in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 06-05-2012, 04:28 PM
  4. Breast BX: DX Documented 174.9-Path report no cancer
    By Trendale in forum General Surgery
    Replies: 1
    Last Post: 03-20-2009, 03:44 PM
  5. V51.0 vs 174.9
    By BlueJades in forum Plastic Surgery
    Replies: 4
    Last Post: 01-27-2009, 07:22 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?

Login

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.