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Thread: Recurrent Carcinoma

  1. #1

    Default Recurrent Carcinoma

    AAPC: Back to School
    What would be the correct Dx code for reccurrent adenocarcinoma of the uterine corpus within the vaginal vault. 182.0 or 184.0?

    Thank you!!

  2. #2
    Join Date
    Apr 2007


    I would used 198.82 primary and v10.42

  3. #3
    Join Date
    Apr 2007
    Ft. Worth, Texas


    Under V10.4 Genital organs It states History of conditions classifiable to 179-187. You could not use this history code with 198.82.


  4. #4
    Join Date
    Apr 2007


    If the cancer is recurrent that means they still have it, the cancer is never mention to be metastic and the patient has not be free of cancer for at least 5 years I would use dx code 182.0 for the uterine corpus.
    Catrina Jacobs, RCC, CPC

  5. #5
    Join Date
    Apr 2007
    Tacoma, WA


    This is an interesting question. If you look at the ICD9 guidelines in the front of the book there are specific rules to follow. First we need to know if the original primary uterine cancer was completely excised or erradicated.

    The cancer of the vaginal vault, although seeming recurrent from the uterine cancer, must be coded as 198.82 because it is a secondary cancer. So now once we know if the primary cancer, the uterine cancer, was previously erradicated (usually by removing the uterus) then it becomes a history of code V10.42 (classifiable to the 182.0). If they did not erradicate or remove the uterus and that cancer is still being actively treated, then it is 182.0.

    So your coding scenarios can be : V10.42, 198.82; or 198.82, V10.42(both of these are acceptable according to the guidelines); or 182.0, 198.82(if the primary uterine cancer is still being treated).

    I just learned about this part of the ICD9 guidelines in a class I took last month...I have been coding for 25 years...just goes to show there is always something new to learn!

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