Results 1 to 4 of 4


  1. Cool Pathology/Oncology
    Exam Training Packages
    I do diagnosing for groups of pathologists and I need a little help. Someone please remind me, if you have a metastatic adenocarcinoma as your diagnosis and you have the place it metastatized from in your history - do you put both codes on the claim, or just the one that is being diagnosed at this time? I vaguely remember maybe being told you use both. And what if you dont have where it came from? Then would only be possible to diagnosis the secondary site and thats ok, right? Been a few years, starting to lose skills! Please help.

  2. Smile Pathology
    If they are treating the metastatic adenocarcinoma that would be listed first. You list the primary site in second position if known. However if unknown there is an unknown code in the table of neoplasms at the start of the table at the top. I hope I have been some help.

    Have a Great Day!!

  3. #3
    Columbia, MO
    You always list the primary site when listing the secondary. If the secondary is the one currently being treated or looked at , then it is the first-listed and the primary site is listed secondary and can be active, history of, or unknown (199.1). Remember the metastatic site is just an extension of the primary neoplasm in a different organ so that is why it is important to list the primary, example bone mets from breast cancer is still breast cancer now in the bone.

    Debra A. Mitchell, MSPH, CPC-H

  4. Default Thank you!
    Thank you for your help it is much appreciated!

Similar Threads

  1. Pathology
    By bmanus in forum Dermatology
    Replies: 3
    Last Post: 02-07-2012, 03:30 PM
  2. Pathology
    By bmanus in forum Dermatology
    Replies: 0
    Last Post: 01-19-2012, 02:51 PM
  3. Pathology
    By awitt in forum Pathology & Clinical Laboratory
    Replies: 1
    Last Post: 11-29-2011, 02:10 PM
  4. Pathology
    By jeffriesm in forum ICD-10
    Replies: 0
    Last Post: 03-29-2011, 09:39 PM
  5. ED and Pathology
    By srinivas r sajja in forum Job Postings
    Replies: 0
    Last Post: 11-23-2010, 02:20 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.