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recurrent vs metastases

  1. #1
    Default recurrent vs metastases
    Medical Coding Books
    Patient had breast primary, mastectomy in 1985. Presents now with soft tissue mass to the chest wall. The pathology states well-differentiated mucinous adenocarcinoma morp features consistent with mammary primary. The physician states locally recurrent breast on chest wall. Locally recurrent means at the original or primary tumor site, right? So would this be a mets to chest wall?

  2. #2
    Columbia, MO
    it is mets the way it is stated, but remember a metastatic cancer is the same cancer as the primary now moved to a different organ. The same cancer recured at the same site is a recurrence. Sounds life bad phrasing from the provider.

    Debra A. Mitchell, MSPH, CPC-H

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