tci General Surgery Coding Alert - 2013 Issue 4

You Be the Coder: Capture Primary Plus Metastatic Cancer

Question: What are the correct diagnosis codes for malignant breast cancer with metastasis to liver and bone? Georgia Subscriber Answer: You should report the breast cancer first using a primary malignant neoplasm code. You also need to list secondary neoplasm codes for the liver and bone metastasis. Breast: The medical record should identify the location of the tumor to allow you to use the most specific diagnosis code for that site, such as 174.1 (Malignant neoplasm of central portion of female breast). If documentation doesn’t show the specific location, the correct code for the breast cancer is...

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