Results 1 to 5 of 5

Cancer coding

  1. #1
    Default Cancer coding
    Medical Coding Books
    I cut and pasted this portion of the note.



    Studies:
    Path: Brain biopsy now showed metastatic adenoCA from lung.

    CT guided lung biopsy showed necrotic materials



    Impressions/plan:

    # Newly dx metastatic adenoCA with brian metastasis. the patient brian biopsy initially showed Glioblastoma multiforme but additional staining showed metastatic ADENOCA from lung. Lung CT guided biopsy showed necrotic material only.


    My question;



    How do you code for brain metatstatic adeno Ca from the lung.

    Do I code it as secondary or primary



    The confusion comes because the lung is not cancerous.



    So is the Brain coded as secondary and then just code the lung with 513.0 for the necrotic material shown on the biopsy.



    Thank You
    Daniel

  2. #2
    Location
    Columbia, MO
    Posts
    12,841
    Default
    If he states adenocarcinoma from the Lung and there is no current evidence of lung CA then I would assume that it is hx of so code the brain mets as your primary dx code and use a v10.x for hx of lung CA.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default
    Thank You.

  4. #4
    Location
    San Juan
    Posts
    33
    Default Cancer coding
    I will use code 198.3 for the metastasis. According to ICD-9-CM coding guidelines chapter 2 section: “any mention of extension, invasion, or metastasis to another site is coded as a secondary malignant neoplasm”. Therefore, the correct coding would be 198.3, 513.0, V10.11
    Thanks,


    Gabriel Rafael Aponte, MBA, RN, CPC, COC, CIC, CRC, CPMA, CCC, CHONC, CCS, CCS-P, CDIP
    Coder

  5. Default adenocarcinoma
    It appears that the scenario to be more simple. As they have confirmed the existence of adenocarcinoma of lung, we should opt for 162.9 and 198.3. Because, adenocarcinoma always lead to malignant condition always. Is it not?

Similar Threads

  1. cancer coding
    By HKOFOID in forum Diagnosis Coding
    Replies: 6
    Last Post: 08-12-2016, 09:03 PM
  2. current cancer vs history cancer coding
    By teemarie in forum Diagnosis Coding
    Replies: 3
    Last Post: 02-21-2013, 01:34 PM
  3. Cancer Coding
    By mattstella101 in forum Diagnosis Coding
    Replies: 8
    Last Post: 07-10-2012, 02:42 PM
  4. Dx cancer coding help
    By Tonyj in forum Diagnosis Coding
    Replies: 3
    Last Post: 11-14-2010, 06:43 PM
  5. ICD-9. Current Cancer vs History of Cancer
    By sarah_black in forum Hematology/Oncology
    Replies: 2
    Last Post: 10-13-2010, 04:46 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.