AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2023 Issue 2; Ask the Editor

Primary and Secondary Malignancy Diagnosed Concurrently

A patient was admitted for workup to rule out malignancy due to diffuse interstitial lung nodules, cervical lymphadenopathy, and thrombus of the right internal jugular vein and the superior vena cava. The patient underwent an excisional biopsy of the supraclavicular lymph node and was found to have stage IV non-small cell lung cancer with metastasis to the cervical lymph nodes. What is the appropriate sequencing for this admission when both primary and secondary malignant neoplasms are diagnosed concurrently? ...

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