tci General Surgery Coding Alert - 2017 Issue 10

Reader Question: Ovarian Cancer Dx Leads Code Choice

Question: Our surgeon performed an open procedure to "debulk" a tumor by excising a 6.7 x 4.8 x 3.3 cm pelvic mass attached not only to the lesser pelvic sidewall but also to the fallopian tube of a patient with recurrent ovarian cancer. What are the correct ICD-10 and CPT®codes for this case? Arkansas Subscriber Answer: Despite association of the mass with the fallopian tube, or the surgeon describing the specimen as a "pelvic mass," you should code the mass based on the diagnosis. That means the correct code is one of the following...

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