AHA Coding Clinic® for ICD-9 - 2011 Quarter 4; Ask the Editor
Metastatic Mesenteric Carcinoid Tumor
Coding Clinic , Fourth Quarter 2009, page 150, advised code 209.74 , Secondary neuroendocrine tumor of peritoneum, for a metastatic mesenteric carcinoid tumor. However, it has been suggested that code 209.71 , Secondary neuroendocrine tumor of distant lymph nodes is a more appropriate code. "Mesentery metastasis" is an inclusion term under code 209.71 . If the secondary Carcinoid tumor of the mesentery is not stated as lymph node metastasis, code 209.74 seems more appropriate. Similarly, referencing the neoplasm table for secondary malignant neoplasm of the peritoneum and the mesentery both are indexed to code 197.6 , Secondary malignant neoplasm of retroperitoneum and peritoneum. Could you please advise as to which is the appropriate code assignment for secondary mesentery carcinoid tumor? ...
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Article Overview
This premium article addresses a specific coding question involving metastatic mesenteric carcinoid tumor classification in ICD-9-CM. It is relevant for coders, CDI professionals, and billing staff who work with neoplasm documentation and secondary tumor reporting. The discussion focuses on the coding reference points cited in Coding Clinic and the related tumor category structure, without replacing the need to review the full article for context.
Why This Topic Matters
Accurate neoplasm coding depends on how documentation is worded and how related secondary tumor categories are structured. This article helps readers understand the scope of the coding issue and the source references involved so they can evaluate whether the full guidance applies to their case.
What You Will Learn
- What coding topic is being discussed for metastatic mesenteric carcinoid tumor documentation
- How the article frames the relationship between a Coding Clinic reference and related neoplasm categories
- Which general documentation elements influence the coding discussion
- How the article approaches comparison of nearby secondary tumor classifications
Who Should Read This
- Medical coders
- Clinical documentation improvement specialists
- Revenue cycle staff
- Coding auditors
- Physician practice managers
Codes Discussed
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