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Indolent Systemic Mastocytosis

  1. Default Indolent Systemic Mastocytosis
    Medical Coding Books
    Any suggestions for DX code for Indolent Systemic Mastocytosis.
    MD is not saying it is Malignant.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

  2. #2
    Location
    Fayetteville, NC
    Posts
    300
    Default
    Maybe 238.5?
    When I googled indolent systemic mastocytosis one of the options was the new ICD 10 code for 2011. I took that code to the AAPC crosswalk tool and the ICD 9 code that D47.0 (The ICD 10 code) crosswalked to was 238.5.
    A. McCormick, CPC, CGSC
    Walters Surgical Associates

  3. Default
    I am under the impression that unspecified nature neoplasm codes can only be used if pathology states such.

    Indolent means Indisposed to action/ inactive; not developing; sluggish.

    Mastocytosis: excessive mast cell development

    Systemic Mastocytosis: infiltration of amst cells into bone marrow, abdominal organs and lympth nodes.

    So basically the patient has this, but it isn't progressing right now. There is the possiblity of progressing to agressive disease and malignancy. But at this point that has not happened.

    So would it be appropriate in this case to use the unspecified nature neoplasm codes?
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

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