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Recurrent cancer dx

  1. #1
    Default Recurrent cancer dx
    Medical Coding Books
    If a patient is diagnosed with recurrent gastric cancer, is the code 151.9 and v10.04?

  2. #2
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    If it's recurrent wouldn't it be 151.9 instead of history of? It's my understanding that history of is used if the patient has NED x 5 years.

  3. #3
    Default
    Thanks Tonyj. I was very skeptical about using the V code since it's not really history of. I did some digging and found that history of is used for cancer that is no longer being treated. If it is recurrent, it's being treated.

  4. #4
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    Mary,
    Where did you find that information? We are having a discussion when auditing for HCC's to determine what constitutes active cancer vs. history of.
    Thanks

  5. #5
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    Quote Originally Posted by sluke9 View Post
    Mary,
    Where did you find that information? We are having a discussion when auditing for HCC's to determine what constitutes active cancer vs. history of.
    Thanks
    Check the ICD9 conventions Section 2 part d. I could not find documentation on a time frame unfortunately but it states if there's no evidence of disease and no treatment being administered then you could use the history code.

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