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Pet Scan Dx

  1. #1
    Default Pet Scan Dx
    Medical Coding Books
    INDICATION: DX TONGUE CA

    IMPRESSION: No evidence of malignancy with no interval change.

  2. #2
    Post
    239.0

  3. #3
    Default
    just curios why not 141.9.....when the indication states TONGUE CANCER?

  4. #4
    Post
    You can code 141.9 depending on the methodology you are coding. The reason why I picked 239.0 is because the dictation doesn't include the terms primary with malignancy.

  5. #5
    Default
    I would use 239.0, morphology nor was behavior stated. This is also why I would not choose 141.9.

  6. #6
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    Hi Kimberley -
    I'm curious there was a dx of tongue cancer at all? Was this already diagnosed and being re-treated, only to find (thankfully) that there wasn't any evidence of malignancy this time?
    I can only assume that the patient already had tongue cancer because how else could the provider put it down as a dx if they didn't already know?
    I'd use the 141.9 UNLESS for some odd reason the provider wrote tongue cancer down when the patient never had it, and now for certain doesn't have it.
    to be certain though, one would have to see the whole physician note...
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  7. #7
    Thumbs up
    Quote Originally Posted by dmaec View Post
    Hi Kimberley -
    I'm curious there was a dx of tongue cancer at all? Was this already diagnosed and being re-treated, only to find (thankfully) that there wasn't any evidence of malignancy this time?
    I can only assume that the patient already had tongue cancer because how else could the provider put it down as a dx if they didn't already know?
    I'd use the 141.9 UNLESS for some odd reason the provider wrote tongue cancer down when the patient never had it, and now for certain doesn't have it.
    to be certain though, one would have to see the whole physician note...
    {that's my opinion on the posted matter}

    This is correct

  8. #8
    Default
    I code for radiology (IDTF) and the only informationt that I have to go by is what is on the order and what is dictated in the report.....so with that said should I still use tongue CA as the diagnosis?

  9. #9
    Post
    Code tongue cancer. After dmaec post, the coding scenario is transparent. The case is documented as if the patient is convalescence; besides the fact that the physician provided a clinical indication of tongue cancer, which should suffice, for 141.9.
    More than likely the patient is undergoing further clinical evaluation and monitoring.

  10. #10
    Default
    Thanks all:-)

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