V71.1 is for a suspected malignant neoplasm not found. You must use the heading in the V71 category as part of the descriptor for each code in the category, this is not for a suspicion of malignancy but for when there was a suspicion that was not found to be a malignancy. V71 codes are all first listed only allowed. I am not sure where you are reading the coding guideline you pulled, but V71 codes are not non specific ICD-9 codes and do not require an additional code. You ususally use a secondary with the V71.1 to show what the finding was such a benign neoplasm,but you must have a path report that shows no malignancy to use V71.1
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