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Thread: sequencing primary & secondary cancers

  1. #1
    Join Date
    Apr 2007

    Default sequencing primary & secondary cancers

    AAPC: Back to School
    If the encounter equally treats both primary and secondary cancers, is there a sequencing rule?
    Thanks in advance
    Karen S

  2. #2
    Join Date
    Apr 2007
    Overland Park Kansas


    According to some payers they require a certain sequencing per the drugs being given for treatment. As far as coding for E&M, i would have the primary cancer first and then metastatic sites following after.

  3. #3

    Default Sequencing of Diagnosis

    What was the reason for the visit?

  4. #4
    Join Date
    Apr 2007


    Hi Annette,
    the question came up while I was teaching, so no encounter
    Karen S

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