tci General Surgery Coding Alert - 2017 Issue 7

Reader Question: Go to 7th Digit for Breast Cancer Diagnosis

Question: The surgeon removed a breast mass from a 42-year-old male. The surgical report described the location of the mass as the right nipple and areola. The pathology report stated “infiltrating ductal carcinoma.” What is the correct diagnosis code? North Carolina Subscriber Answer: The correct diagnosis code for the case is C50.021- (Malignant neoplasm of nipple and areola, right malebreast). The correct code family is C50, because infiltrating or invasive ductal carcinoma is a malignant tumor. Don’t confuse this condition with ductal carcinoma in situ (DCIS), which is not malignant and reports to a different ...

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