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Thread: Coding Ovarian Mass not definitive for CA

  1. #1

    Question Coding Ovarian Mass not definitive for CA

    AAPC: Back to School
    Hi there,

    My surgeon saw a new patient in the office for suspected ovarian cancer (as he puts it, he diagnosed ovarian CA from patient's radiology studies), but the patient has definitive ovarian masses.

    I don't think it is apprpriate to code the ovarian cancer in this situation since we have no final path. So how would I code the ovarian mass?

    Thanks, Jenn

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    After preliminary diagnostic study reveals the mass to be nothing else (like a cyst or abcess) and the provider is moving on to more definitive studies you can drop the code for mass and use a code from the 239.x category for neoplasm unspecified. Since there is no morphologic specification as to where it is benign or malignant.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007

    Smile Benign ovarian mass

    I tend to go to the neoplasm table for these diagnoses.
    For a benign ovarian mass I tend to use 220, but only after confirming w/a pathology report for procedures performed.
    However,my suggestion for your case would be to look up the neoplasm table. I would suggest looking up ovary, then coding depending on malignancy 1o, 2o or CA in situ, benign, unc. behavior or unspecified.
    Hope this helps.

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