View Poll Results: How would you code the diagnosis

6. You may not vote on this poll
  • 585.9

    5 83.33%
  • 236.91

    1 16.67%
Multiple Choice Poll.
Results 1 to 3 of 3

Chronic Kidney Failure with Mass/Leasion

  1. #1
    Chicago South East Illinois Chapter
    Exclamation Chronic Kidney Failure with Mass/Leasion
    Medical Coding Books
    I'm having a problem with the diagnosis for left Kidney Failure CPT 50250/LT
    there is "no path report". A CT revealed a 3.0 cm mass/leasion on the left
    kidney. I coded the diagnosis 585.9 (Chronic renal failure) and 236.91
    (Neoplasm of uncertain behavior kidney & ureter), but unsure of the
    236.91. You Urology coders I need your help)!

  2. #2
    Exclamation Mass lesion, kidney
    A mass is not the same as a neoplasm. I think you could add 593.89 or 593.9 for the mass in the kidney; until you get a pathology report or your physician specifically states that the mass is neoplastic (and how would he/she know without the path report?) you should not "give" this patient a neoplasm.:

  3. Wink
    I think Adevine has a point, until you don't have a patho report and the doctor didn't say that it is a neoplasm, then you can't report it as a neoplasm. I would go for the 593.89 (Other specified disorder of kidney and ureter - Other) it's much safer..

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