AAPC - Back to school
Results 1 to 5 of 5

Thread: Breast cancer listed under the PMH

  1. #1

    Default Breast cancer listed under the PMH

    AAPC: Back to School
    I am coding an outpatient office note. The physician states Breast CA under the PMH, there is no surgical history, but he lists the Breast CA under the Assessment. Should this be coded as a current CA or a history of CA?

  2. #2
    Join Date
    Apr 2007
    Stuart, Florida


    Is there any indication of any treatment or management? Or is it just listed as "Breast Cancer" with no other references to the DX in the entire note?
    Vanessa Mier, CPC

  3. #3


    There was no mention of the Breast Cancer anywhere other than it was mentioned as "history of" under the PMH section of the note. It looks to me like it is an electronic record that just puts all dx codes that this patient may have had.

  4. #4


    If there is no mention of meds or ongoing treatment, you must code "personal history of neoplasm of the breast" V10.3

  5. #5



    Yes , you can code history of neoplasm of the breast- V10.3, there is no other documentation for ongoing treatment.

    Nalini CPC

Similar Threads

  1. Chronic Conditions Listed in PMH
    By serhaug in forum Diagnosis Coding
    Replies: 22
    Last Post: 10-06-2015, 06:44 AM
  2. Chronic Conditions listed in PMH-Risk Adjustment
    By Nkeith in forum Compliance General Discussion
    Replies: 1
    Last Post: 03-04-2015, 02:41 PM
  3. Breast Cancer
    By kim.hampton@sbcglobal.net in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 07-21-2011, 10:06 AM
  4. Breast Cancer HELP!!!
    By LewinFamily in forum ICD-10
    Replies: 5
    Last Post: 09-15-2010, 01:47 AM
  5. Breast cancer
    By codedog in forum Plastic Surgery
    Replies: 1
    Last Post: 09-24-2009, 07:40 AM

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.