tci General Surgery Coding Alert - 2019 Issue Q3

Reader Question: Report Relevant Post-Surgical ICD-10 Codes

Question: Following a Whipple procedure involving a total pancre­atectomy that our surgeon performed to treat pancreatic cancer in the head of the pancreas, the patient developed hypoinsulinemia and diabetes. At the same time that our surgeon is providing surgical after care, the oncologist is planning chemotherapy and radiation. What diagnosis codes should we use for this case? Ohio Subscriber Answer: For encounters with your surgeon following the Whipple procedure, you’ll need to code first the cancer as C25.0 (Malignant neoplasm of head of pancreas). Although the cancer was surgically removed, the patient is in ongoing treatment...

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