tci ED Coding & Reimbursement Alert - 2008 Issue 4

Reader Questions: End Confusion on Cancer-Free Dx

Question: If a patient has a diagnosis of cancer, how would I report this on the claim? Also, how does the ICD-9 coding change if the patient receives a "cancer-free" diagnosis from her physician? Pennsylvania SubscriberAnswer: Cancer treatment can span many months. For example, a patient with breast cancer undergoes, in turn, a biopsy, mastectomy, chemotherapy and radiation therapy. The entire process takes about nine months. If this patient reported to the ED during this time for a cancer-related issue, you would report a diagnosis of 174.x (Malignant neoplasm of female breast -). After the patient has completed...

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