AHA Coding Clinic® for ICD-9 - 2006 Issue 3; Ask the Editor

Cachexia

A patient with advanced lung cancer receives palliative radiation therapy. The physician also documented that the patient had no appetite with a weight loss of twenty pounds over the past two months. The physician described the patient as cachectic and ordered nutritional supplements of “boost” three times a day. Please provide advice for coding malignant cachexia, and when to assign ICD-9-CM codes 799.4, Cachexia; 261, Nutritional marasmus; and 199.1, Malignant neoplasm without specification of site, other. What are the appropriate code assignments? ...

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