Results 1 to 6 of 6

active vs history of breast cancer

  1. Default active vs history of breast cancer
    Exam Training Packages
    A colleague and I are debating whether to consider this patient as having active breast cancer. If patient will be on Herceptin indefinitely (she comes in every 3 wks) will she always be considered to have active breast cancer? Background is initial dx of breast cancer in 2003, bilateral mastectomy in 2004 (BRCA 1 and BRCA 2 mutation). Liver mets diagnosed March 2005 with ablation of liver lesion June 2005. Started Herceptin April 2005. July 2005 CT scan reveals no metastatic disease. Thanks for any input.

  2. #2
    Default
    Technically, Herceptin is hormone therapy, but it is being given because the patient has breast cancer. In my opinion, that is "actively treating" the disease. Yes, she will always have breast cancer. Now, if ICD-1o offers an in remission code, I'd consider using that in the future.

    Tracy Helget, CPC

  3. #3
    Location
    Grand Rapids, MI
    Posts
    57
    Default
    I agree Tracy. If we have a patient still being treated, we still code them with a breast cancer code. Once treatment stops, we then bill V10.3. There has been previous discussion on this thread that says that if a patient has a history of breast but it comes back as a mets then we would still bill it as history of Breast and I disagree with this. If we are going to again give chemo because the breast cancer has returned as a mets, we would use the 174.x

  4. #4
    Location
    Columbia, MO
    Posts
    12,570
    Default
    If it returns as a mets then you code the metastatic site and the breats cancer as hx of. If it is a recurrence at the primary site, this is not a mets it is a recurrence and it is coded as active. Herceptin is still treating active breast cancer cells so it is coded as active cancer. When the mets is no longer detected then it is no longer coder, only the primary is coded in this case as either active or hx of. The original post.. states no more evidence of mets to the liver but still on herceptin so code as active breast ca 179.4

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
    Default
    Quote Originally Posted by mitchellde View Post
    ... The original post.. states no more evidence of mets to the liver but still on herceptin so code as active breast ca 179.4
    I'm certain you meant active breast cancer 174.x .

  6. #6
    Location
    Columbia, MO
    Posts
    12,570
    Default
    Yes you are correct I am very dyslexic at times! Thanks for helping me out.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Coding for history of breast cancer
    By NPSDEB in forum Diagnosis Coding
    Replies: 1
    Last Post: 09-14-2015, 12:53 PM
  2. Coding for History of Breast Cancer
    By Ethanzoe in forum Diagnosis Coding
    Replies: 2
    Last Post: 03-01-2015, 04:44 PM
  3. Breast Reconstruction w/active cancer code
    By roslyn jones in forum Plastic Surgery
    Replies: 4
    Last Post: 08-14-2014, 12:04 PM
  4. History of vs active cancer
    By dja214 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-28-2011, 08:54 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?

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.