AAPC - Back to school
Results 1 to 3 of 3

Thread: therapy induced syndrome without cancer

  1. #1

    Question therapy induced syndrome without cancer

    AAPC: Back to School
    How would you code a patient that has chemotherapy induced myelodysplastic syndrome? This patient is currently cancer free and is no longer receiving treatment for the cancer but they are still coming in for their darpo shot for the syndrome.
    For this you are directed to 289.83 but you are to code the underlying condition first (174.0-174.9). Should I use the "history of" code first as the are no longer receiving treatment for the cancer? Or should I use the cancer code first even if they are no longer receiving treatment for the cancer specifically?A
    Advice is appreciated!

  2. #2

    Default query

    I don't code oncology, but I am curious as to why it isn't coded 238.75 with an e code for the chemo in therapeutic use?

  3. #3


    Since I did not feel comfortable with using the dx of myelofibrosis, I asked this question one of our oncologists. This is her response:

    "I would not use myelofibrosis code unless he had it. I would use MDS code 238.75 whether it was de novo MDS (not induced by chemo or radiation) or secondary MDS (that is MDS that was induced by some type of chemo or radiation that the patient received for some other malignancy and the prognosis is worse than de novo MDS and has less of a chance of response). I still do not know what this darpo shot is. Do they mean darbepoietin which is aranesp which could be used for MDS? I suppose they do not mean dacogen."

    I would not use "history of" to code the injection. I would use "history of" (as I am certain it would be not only in the Impressions but also all over the pt's chart) in conjunction with an E/M (as a secondary; the primary being MDS for which the pt is undergoing tx).

    Lioubov Petrova, CPC, CHONC

Similar Threads

  1. current cancer vs history cancer coding
    By teemarie in forum Diagnosis Coding
    Replies: 3
    Last Post: 02-21-2013, 01:34 PM
  2. Superficali Radiation Therapy for Skin Cancer
    By bporro in forum Dermatology
    Replies: 0
    Last Post: 12-04-2012, 02:21 PM
  3. Nitric Oxide as therapy for respiratory distress syndrome?
    By jtuominen in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 03-05-2012, 12:36 PM
  4. ICD-9. Current Cancer vs History of Cancer
    By sarah_black in forum Hematology/Oncology
    Replies: 2
    Last Post: 10-13-2010, 04:46 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?


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.