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Inpatient coding for suspicious carcinoma

  1. Default Inpatient coding for suspicious carcinoma
    Medical Coding Books
    Hello all.
    I am new to coding inpatient visits (and am the only inpatient coder at my facility) so hopefully someone will be able to guide me in the right direction...On a discharge summary for one of our Acute patients one of the diagnoses are "renal mass suspicious for renal cell carcinoma". I know that with inpatient we are to code "suspicious, questionable, probably, etc." but I want to make sure this holds true for something as serious as cancer or if there are exceptions to this rule. Can someone help? I would greatly appreciate it, thank you!!!


  2. #2
    Fayetteville, NC
    I would never code something as cancer unless I had a pathology report in my hand that states that it is cancer.
    You can safely code the renal mass (593.9) though as that is verifiable.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  3. Default
    Thank you, that is what I did!

  4. #4
    Fayetteville, NC
    You're very welcome!
    I guess because I am an outpatient coder I insist on everything being verified as fact before I code it
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

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