05-22 Class Summary_ ICD-10-CM Neoplasm Coding Essentials Flashcards
(36 cards)
What is the range of codes for neoplasms in ICD-10-CM?
C00 to D49
What must documentation indicate to properly code neoplasms?
Morphology, such as benign, in situ, or malignant
What should be reported if there is a malignancy?
The secondary or metastatic site
What drives the order of codes in neoplasm coding?
Sequencing instructions
How many columns are in the ICD-10-CM table of neoplasms?
Seven columns
What does the first column in the neoplasm table represent?
The descriptor of the neoplasm
What are the types of malignant neoplasms listed in the table?
- Malignant primary
- Malignant secondary
- Carcinoma in situ
Define primary malignancy.
Cancer that starts at a site and did not spread from elsewhere
What is a secondary malignancy?
Cancer that has spread to an organ from somewhere else
What is carcinoma in situ?
A malignancy that is encapsulated and will not metastasize
What is a benign neoplasm?
A non-cancerous neoplasm
What is a neoplasm of uncertain behavior?
A lesion whose behavior cannot be predicted; currently benign but may become malignant
Give examples of lesions of uncertain behavior.
- Congenital giant pigmented nevus
- Dysplastic nevus
- Nevus sebaceous of Jadison
- Actinic keratoses
What should provider documentation for lymphoma include?
Specific details about lymphocytes and affected lymph nodes
What is follicular lymphoma?
A slow-growing non-Hodgkin lymphoma arising from B cells
How is follicular lymphoma graded?
On a scale from 1 to 3 based on the number of centroblasts
What should be coded if a malignancy is suspected but not confirmed?
Code for signs or symptoms
In the case of a suspicious breast mass, what codes would be reported?
- N63 for unspecified lump in breast
- Z85.3 for personal history of primary malignant neoplasm of breast
When treatment is directed at a malignancy, how should it be coded?
The malignancy should be listed as the principal diagnosis
What is coded when treatment is solely for chemotherapy or radiation therapy?
Codes for chemotherapy or radiation therapy as the first listed diagnosis
What is the correct code for lung cancer in the upper lobe?
C34.12 for malignant neoplasm of upper lobe, left bronchus, or lung
What should be coded if treatment is aimed at a secondary site?
The secondary site as the first listed code
When managing anemia associated with malignancy, what is coded first?
The malignancy
What codes should be used for treatment of a complication from surgery?
Codes from T81.40 to T81.43 as the principal diagnosis
