Results 1 to 7 of 7

using v codes for history

  1. #1
    Default using v codes for history
    Medical Coding Books
    I'm trying to see how everyone else is coding their history of cancer codes, I use the 1 year out from any treatment, surgery, drugs w/no evidence of recurrent disease, someone else has told me it's 5 years out. Just trying to get some other opinions on this. Thanks

  2. Default
    I code according to the doctors report. If he classifies it as a 56 year old with breast cancer I code it 1749, if he classifies it as a 56 year old with a history of breast cancer I code it V103. It is not up to me to determine the length of history if it is not recorded in the report.

  3. #3
    True, but some dr.'s here say hx of but they are still on treatment or a drug & I thought that if they are still being treated, even though dr. says hx we have to code it to the cancer code, not hx

  4. #4
    Greeley, Colorado
    ICD-9-CM coding guidelines state "When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy, a code from category V10, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy..." I take this to mean that if the malignancy is no longer being treated because it is believed to have been "eradicated", then you should code the V code. I used to think there was a 5 year rule...not sure where that came from. If a patient is still undergoing any kind of cancer treatment however, it would not be a V code.

  5. Default
    What about if they are on tamoxifen for Breast Ca (usually tx for 5 yrs)? I guess you would still have to code current code not V.

  6. #6
    Greeley, Colorado
    If the patient is still receiving any kind of treatment for the cancer you should code the cancer code, not the history code.

  7. Default Chemotherapy induced
    What about a patient that has chemotherapy induced myelodysplastic syndrome? They are currently cancer free and are no longer receiving treatment for the cancer but they are still coming in for their darpo shot for the syndrome.
    For this you are directed to 289.83 but you are to code the underlying condition first (174.0-174.9). Should I use the "history of" code first as the are no longer receiving treatment for the cancer? Advice is appreciated!

Similar Threads

  1. Wiki Personal history codes vs cancer codes
    By Mindy Davis in forum ICD-10
    Replies: 3
    Last Post: 06-23-2016, 01:01 PM
  2. Need help with History of Alcoholism codes
    By sandraf in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-01-2015, 10:58 AM
  3. History codes
    By amylis1 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 07-25-2012, 11:12 PM
  4. history codes
    By in forum Outpatient Facilities
    Replies: 2
    Last Post: 03-15-2010, 09:39 AM
  5. Help Please! history codes
    By strawn123 in forum Diagnosis Coding
    Replies: 4
    Last Post: 09-08-2009, 02:16 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?


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.