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Thread: Dx cancer coding help

  1. #1
    Join Date
    Apr 2007

    Default Dx cancer coding help

    AAPC: Back to School
    Cancer codes always give me a hard time. Can anyone assist me with these diagnosis codes? I can use a code given by the path report but what about the mets? Thanks in advance. Please read below.

    Physicians Note: 10/1/10
    CT- extensive mets. Diagnosed with metastatic carcinoma most consistent with urothelial primary.
    What Dx code should I use???

    History: pt had renal cell carcinoma 1996 (removed by nephrectomy); Melanoma L arm - resected in 02/2009 (superficial spreading- 0.75 mm)

    As per cytopathology report: ICD9 Codes: 198.5
    History of melanoma and right nephrectomy for ureteral tumor.
    Now with apparent metastatic lesions.
    Bone, left ilium (CT-guided fine needle aspiration):
    Metastatic carcinoma, most consistent with urothelial
    primary (see comment).

    Cell Block Study: Metastatic carcinoma, most consistent
    with urothelial primary.


  2. #2


    for the renal cell ca the code would be V10.52 from the info given stating history not current malignancy

    the melanoma would also be a history code V10.82

    the bone mets would be 198.5 as the primary code followed by V10.52 ans V10.82

  3. #3
    Join Date
    Apr 2007


    Thanks for your response.
    Do I also code the urothelial primary?


  4. #4

    Default you do not code "consistent with"

    I think that you should code it this way
    198.5; V10.52; v10.82;v45.73 and v45.89

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