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diagnosis coding for ancillary service

  1. Default diagnosis coding for ancillary service
    Medical Coding Books
    Hi, I am a very new coder and I working on coding ancillary services remotely. I have a case where the doctor ordered a CT of the brain with the dx being written as kidney cancer restaging. He also ordered a CT of the chest/abdomen/pelvis and listed the dx as kidney cancer restaging and noted on that script that there was recurrence in abdomen and pelvis. I am unfamiliar with "restaging" . How would I code this?

  2. #2
    Tacoma, WA
    From reading the guidelines in the front of the ICD-9 book, it would appear you just code the kidney cancer. The "staging" is not coded. This is a case of trying to determine the extent of a malignancy so you use the primary malignancy until further diagnosis is made.

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