DecisionHealth, DecisionHealth - 2017 Issue 1 (January)

ICD-10-CM coding for tamoxifen depends on intent of the therapy

Question: The patient was diagnosed with breast cancer and is status post mastectomy. There is no active chemotherapy or radiation being administered. However, the patient is receiving tamoxifen therapy. The oncologist believes the diagnosis should be coded as active (C50-), while the gynecologist believes it should be personal history of breast cancer (Z85.3). Which is it?

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