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Thread: dx codes - billed for personal

  1. #1

    Default dx codes - billed for personal

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    need some help....what diagnosis would be billed for personal history of breat cancer and tamoxifen use for 5 years

  2. #2
    Albany, New York


    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Greeley, Colorado


    If the patient is still taking the tamoxifen (still being treated) then you would code the appropriate breast cancer code (ie 174.9) and V58.69. Once successful treatment is stopped, then you can use the personal history codes.
    Lisa Bledsoe, CPC, CPMA

  4. #4



  5. #5
    Columbia, MO


    Since the patient is taking tamoxifen then the cancer is still being treated and you would use the 174.9 until it is stopped.

  6. #6
    Kansas City, MO


    If you have access to the AHA Coding Clinic go to the Second Quarter 2000, page 8. It should provide you with some additional guidance.

    If you don't have access to the AHA Coding Clinic, this link might also help you. It is a coding Q&A from the Wisconsin Medical Society. http://www.wisconsinmedicalsociety.o...cation/faq#q13 Under ICD-9 Coding, select the second question "What diagnosis should be used for a patient who is finished with treatment of their breast cancer, but remains on Tamoxifen?" It gives 3 examples of how Tamoxifen is used and when it is a treatment vs prophylactic.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant

  7. #7
    Albany, New York


    Thank you Angela.
    Karen Maloney, CPC
    Data Quality Specialist

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