Ch 5 Neoplasia

Question 1

Which codes are included when the primary site has been treated/excised?

Answer 1

1. metastatic site

2. personal history of ___

Question 2

History codes are always type __

Answer 2

3

Question 3

When is C80.0 /Malignant neoplasm, primary site unknown/ used?

Answer 3

primary site unknown

Question 4

When is /Malignant neoplasm unspecified/ used

Answer 4

no documentation of primary site

Question 5

Which terms mean that there are multiple secondary sites?

Answer 5

disseminated; carcinomatosis

Question 6

How is equal treatment of primary and secondary site typed?

Answer 6

primary site = MRDx

secondary site = Type 1

Question 7

If secondary site is the only thing being treated, how is it typed?

Answer 7

secondary site = MRDx

primary site = variable typing

Question 8

Do not code lymphomas as ___ neoplasm

Answer 8

secondary

Question 9

Lymphomas are coded as lymphoma even when ___

Answer 9

site specific

Question 10

T or F. Lymph node malignancies and lymphoma are interchangeable

Answer 10

false

Question 11

Acute exacerbations of chronic leukemia is coded as ___

Answer 11

chronic leukemia

Question 12

If patient with leukemia in remission, leukemia is still coded and typed __

Answer 12

3

Question 13

Encounter: codes included when biopsy occurs then a separate admission for surgery

Answer 13

MRDx is always the malignancy even if path report shows no additional cancer cells found

Question 14

Encounter: codes included for bracytherapy

Answer 14

MRDx is the malignancy

CCI code

Question 15

CCI codes for brachytherapy are assigned for which two stages?

Answer 15

1. insertion

2. radioactive afterloading

Question 16

If insertion and radioactive afterloading are done in one episode, code ___ first

Answer 16

brachytherapy

Question 17

Encounter: codes included for radiotherapy and chemotherapy

Answer 17

1. MRDx: radiation/chemo/drug therapy codes
2. Type 3: malignancy even if removed or currently treating
3. CCI codes

Question 18

Encounter: codes included for complications

Answer 18

1. MRDx: complication

2. Type 1/3: neoplasm based on treated or not treated

Question 19

Encounter: codes included for follow up examinations with no residual tumor

Answer 19

1. MRDx follow up code

2. Type 3 history code

Question 20

Encounter: codes included for follow up examinations with a residual or recurring tumor

Answer 20

1. MRDx tumor
2. Type 3 follow up code
3. Type 3 history code

Question 21

What are the alternate names for follow up appointments?

Answer 21

recheck; surveillance

Question 22

What is the MRDx if patient is admitted for palliative care?

Answer 22

the palliative care code (Z51.5)

Question 23

Malignant history is applied to ___ sites only

Answer 23

primary

Question 24

History codes are mandatory when a.__ b.__ c.__

Answer 24

a. recurrent malignancy
b. identifying treated primary site when there is a secondary neoplasia
c. history of/follow up/ for/prophylactic surger for/ reconstructive surgery of/excision of new primary malignancy in the breast/lung/prostate

Question 25

RSN BLP | rodel sebastian neri - blp sandwich

Answer 25

malignant history 1. recurrent 2. secondary neoplasia 3. breast 4. lung 5. prostate

Question 26

When a patient has had a previous mastectomy, lobectomy or pneumonectomy and are undergoing another excision for a new primary malignancy, what is mandatory?

Answer 26

acquired absence code (Z90.-)

Question 27

What code is assigned when symptoms are present and malignancy is ruled out?

Answer 27

Z03.1

Question 28

Codes included for screening with no malignancy found

Answer 28

MRDx screening code

Question 29

Codes included for screening with no malignancy found

Answer 29

MRDx: neoplasm code | Type 3: screening code

Question 30

Codes included for prophylactic surgery

Answer 30

MRDx: Z40.0 for preventing malignancy | Type 3: history code

Question 31

Z40.0 /Prophylactic surgery/ can't be used if ___ is present

Answer 31

cancer

Question 32

Mandatory to assign a code for this type of biopsy

Answer 32

sentinel node biopsy

Question 33

DR ONOSO PSH

Answer 33

Type 1/2 codes * D*rug resistant codes * R*65.1 * O*rgan- * N*ot- * O*therwise- * S*pecified * O*rgan failure * P*roblem * SH*ock

Question 34

BC History ROTS

Answer 34

Always Type 3 codes * B*95-B97 codes * C*arrier codes * History* codes * O/T* codes * SIRS* codes

Question 35

SODD

Answer 35

Drug resistant codes * S*ite * O*rganism * D*rug it's resistant to * D*iagnosis cluster

Question 36

RSN_BLP

Answer 36

Mandatory history codes * R*ecurrence * S*econdary * N*eoplasia fUp of * B*reast * L*ung * P*rostate cancer

Question 37

Always MRDx Group 1: Infection

Answer 37

1. site of drug resistant infection | 2. non-infectious cause of SIRS

Question 38

Always MRDx Group 2: metastasis

Answer 38

1. secondary site if primary is gone 2. secondary site if treated by itself 3. primary site when treated equally with secondary

Question 39

Always MRDx Group 3: encounters

Answer 39

1. malignancy after biopsy 2. malignancy after brachytherapy 3. radiation or chemo

Question 40

Always MRDx Group 4 follow up

Answer 40

1. follow up code when no residual tumor 2. residual tumor code 3. palliative care

Question 41

Always MRDx group 5: screening

Answer 41

1. screening when no malignancy found | 2. neoplasm when malignancy found in screening