Results 1 to 3 of 3

Neoplasm code?

  1. #1
    Default Neoplasm code?
    Medical Coding Books
    MD states colon cancer with multiple liver mets coded as 153.9 & 197.7. Path reports states metastatic colonic adenocarcinoma; Liver biopsy states metastatic colorectal cancer. My question is do I code as above MD's statement or can I forgo what the MD states and be more specific using the path report? 154.0 & 197.7?

    As per an article I've read on 'Coding Neoplasms Accurately', "Whenever a biopsy or excisional procedure is performed for the expressed purpose of determining whether a particular tissue is malignant or not, the record should not be final coded until the path report is present."

    Your opinions do matter.

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    I think you go with the path report as that is the definitive diagnosis. You do want to get it right when you are dealing with malignant neoplasms and metastatic cancer.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Default
    Quote Originally Posted by ajs View Post
    I think you go with the path report as that is the definitive diagnosis. You do want to get it right when you are dealing with malignant neoplasms and metastatic cancer.
    Thanks for your prompt response.

Similar Threads

  1. When to code current neoplasm versus history of neoplasm?
    By Virginia2016 in forum Diagnosis Coding
    Replies: 3
    Last Post: 05-24-2014, 11:30 PM
  2. Dx code for neoplasm
    By Tonyj in forum Diagnosis Coding
    Replies: 0
    Last Post: 12-05-2011, 10:36 AM
  3. Ovarian Neoplasm ICD-9 Code
    By sellis in forum OB/GYN
    Replies: 1
    Last Post: 01-20-2011, 07:15 PM
  4. mass in chest/neoplasm code??
    By presh180 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-11-2011, 02:34 PM

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?

Login

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.