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Thread: Neoplasm coding question

  1. #1
    Join Date
    Apr 2007

    Default Neoplasm coding question

    AAPC: Back to School
    Assistance please, how would you could....

    metastatic osteosarcoma of the lung

    Is the osteosarcoma secondary or is the lung secondary?

  2. #2
    Join Date
    Apr 2007
    St. Louis, Missouri


    The lung would be secondary.

    Melissa Blow, CPC

  3. #3
    Join Date
    Apr 2007
    Bettendorf, Iowa

    Red face

    My co-worker and I discussed this. The word metastatic can be used in 2 different ways. The way you worded the diagnosis we would take to mean it originated in the bone and spread to the lung.

  4. #4


    I agree that the lung is secondary.

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