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dx codes - billed for personal

  1. #1
    Default dx codes - billed for personal
    Exam Training Packages
    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, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013

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

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