Looking for help with an actual coding question :) - levette Posted: Dec 13th, 2018 - 10:45 pm
I'm not sure where I can ask coding questions. I hope there are knowledgable coders reading this forum!
Does anyone know where it states the following sites should be coded as a secondary site when there is a malignant neoplasm not otherwise specified (i.e., it's not specified as a primary or secondary malignant neoplasm)?
Bone
Brain
Diaphragm
Heart
Lymph nodes
Liver (exception)
Mediastinum
Meninges
Peritoneum
Pleura
Retroperitoneum
Spinal cord
A 1985 Coding Clinic states these sites are considered secondary if qualified as metastatic. But now I'm told "bone cancer" would be considered secondary (per CMS). So would "brain cancer." Yet there's a 1994 Coding Clinic article that codes "brain carcinoma" as a primary even though the documentation didn't state it was a primary. The question&answer above came from The Coding Handbook, but that's hardly an official source for coding. As CMS is also following this rule, stating it comes from coding guidelines, I'm curious as to the source of this rule (which really should be in our official ICD-10-CM code books by now!).
I went to Andrews and one of the exam questions had to do with malignant neoplasm of the pleura. I coded as primary and the computer graded that correct. Yet, pleura is on the list above.
Post A Reply Reply By Email Options
Complete Discussion Below: ( marks the location of current message within thread)
Looking for help with an actual coding question :) - levette (Views: 607, 2018-12-13, 10:45 pm)
- Coding clinic - Not perfect but trying (Views: 428, 2018-12-14, 8:11 am)
- guidelines - levette (Views: 392, 2018-12-14, 3:34 pm)
- Coding Clinic - former Andrews student/grad (Views: 502, 2018-12-19, 9:03 pm)
- AHA Coding Handbook - former Andrews student/grad (Views: 453, 2018-12-19, 8:55 pm)
- doesn't need to be stated metastatic? - levette (Views: 440, 2018-12-20, 11:27 am)
- Brain cancer or brain mets - former Andrews student/grad (Views: 344, 2018-12-20, 3:41 pm)
- Not stated metastatic - levette (Views: 336, 2018-12-20, 8:40 pm)
- Mets - former Andrews student/grad (Views: 400, 2018-12-20, 9:47 pm)
- guideline - levette (Views: 465, 2018-12-21, 8:21 am)
- mets - former Andrews student/grad (Views: 458, 2018-12-21, 12:49 pm)
- NOS - levette (Views: 370, 2018-12-21, 5:36 pm)
- NOS vs METS - former Andrews student/grad (Views: 429, 2018-12-22, 4:18 pm)
- Financial Services business and personal loans no collateral require
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- Financial Services business and personal loans no collateral require
- EMERGENCY LOANS, URGENT BUSINESS AND PERSONAL LOAN FAST AND EASY
- WE OFFER QUICK LOAN PERSONAL LOAN, BUSINESS LOAN, AND DEBT CONSOLIDATION LOAN
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- Financial Services business and personal loans no collateral require
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- WE OFFER QUICK LOAN PERSONAL LOAN, BUSINESS LOAN, AND DEBT CONSOLIDATION LOAN
- DO YOU NEED A PERSONAL LOAN / BUSINESS LOAN AT 3% INTEREST RATE? APPLY
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- WE OFFER LOANS WITHIN 24 HOURS APPROVAL GUARANTEED
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- LOANS FOR 3%INTEREST RATE PER YEAR PERSONAL LOANS & BUSINESS LOAN OFFER APPLY NOW
- DO YOU NEED A URGENT LOAN BUSINESS LOAN TO SOLVE YOUR PROBLEM EMAIL US NOW
- type of bed for post delivery mother
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- WE OFFER PERSONAL LOAN, BUSINESS LOAN, AND DEBT CONSOLIDATIO LOAN
- DO YOU NEED AN URGENT LOAN IF YES APPLY FOR THE LOAN NOW
- LOANS FOR 3%INTEREST RATE PER YEAR PERSONAL LOANS & BUSINESS LOAN OFFER APPLY NOW
- Loan Offer Opportunity
- Loans borrowing without collateral
- Loans borrowing without collateral
- Loan Offer Opportunity
- 100% GUARANTEED LOAN PROVIDER APPLY TODAY
- LOAN OFFER WITHOUT STRESS APPLY
- Radiology editor (Powerscribe)
- WE OFFER PERSONAL LOAN, BUSINESS LOAN, DEBT LOAN AT 3%INTEREST RATE
- APPLY FOR URGENT LOAN, BUSINESS AND PERSONAL LOANS OFFER
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- E OFFER LOANS WITHIN 24 HOURS APPROVAL GUARANTEED
- DO YOU NEED A URGENT LOAN BUSINESS LOAN TO SOLVE YOUR PROBLEM
- Financial Services business and personal loans no collateral require
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- WE OFFER QUICK LOAN PERSONAL LOAN, BUSINESS LOAN, AND DEBT CONSOLIDATION LOAN
- Business Loans, Quick Loans, Approval with No Collateral
- DO YOU NEED A PERSONAL LOAN / BUSINESS LOAN AT 3% INTEREST RATE? APPLY
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- Who is taking over this website? Looks like it has now gone in the gutter with all the MT department
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
- All I want to do is vent
- WE OFFER ALL TYPE OF LOAN PERSONAL LOANS AND BUSINESS LOAN
- WE OFFER PERSONAL LOAN, BUSINESS LOAN, AND DEBT CONSOLIDATIO LOAN
- Quick Financial Services business and personal loans Online with Direct Lenders
- FINANCIAL SERVICES BUSINESS CASH LOAN COMPAN GRANTED ME A BUSINESS LOANS
|