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Auditing question

  1. #1
    High Point Chapter
    Red face Auditing question
    Medical Coding Books
    I have an auditing question. We have a patient who has come
    > in for a consultation with our oncologist for Stage II breast cancer
    > who recently had surgery for 2 separate areas of moderately
    > differential infiltrating ductal breast cancer. She is recovering
    > postoperatively and has come in for evaluation of adjuvant treatment.
    > The opinion was that she was not a candidate for chemotherapy based on
    > age and comorbidities. My question is: Under the Table of Risk,
    > Present Problems do you think this would be conidered High risk? We
    > have been discussing and come up with conflicting answers. I would
    > appreciate any enlightenment in this area.
    > Thank you for your help.

    > ---
    > ---
    > ---------------------------------------------------------------------

  2. #2
    I think either of the following examples they give could cover this situation. One or more chronic illnesses with severe exacerbation, progression, or side effects of treatment or that it poses a threat to life or bodily function.

    I could see where breast cancer in patient not able to undergo chemo would be justified as high risk.

    Just my opinion,

    Laura, CPC

  3. #3
    Seacoast- Dover New Hampshire
    I agree with Laura. She sounds high risk.
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  4. #4
    High Point Chapter
    Talking Auditing question...
    Thank you both for you quick reply...just needed someone else's opinion

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