AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Biopsy of Neobladder Malignancy

A patient, who is status post creation of a neobladder due to invasive bladder cancer, presents with gross hematuria and undergoes surgical biopsy. The biopsy of the neobladder is positive for poorly differentiated carcinoma. Since a section of the small intestine was used to create the new bladder, would the diagnosis be coded as carcinoma of the intestine or bladder? What is the appropriate “body part” for the biopsy, intestine or bladder? ...

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