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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
    Location
    Albany, New York
    Posts
    456
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    V10.3
    v58.69
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
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    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
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    thanks

  5. #5
    Location
    Columbia, MO
    Posts
    12,375
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    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
    Location
    Kansas City, MO
    Posts
    751
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    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, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  7. #7
    Location
    Albany, New York
    Posts
    456
    Default
    Thank you Angela.
    Karen Maloney, CPC
    Data Quality Specialist

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