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Coding / Medical Billing

Brain cancer or brain mets - former Andrews student/grad

Posted: Dec 20th, 2018 - 3:41 pm In Reply to: doesn't need to be stated metastatic? - levette

Brain carcinoma and brain mets are two different codes.

Basically if you have a comment metastatic carcinoma of the lung, you do not know which is metastatic without following the rules in the AHA Coding Handbook, so it is essentially saying, since lung is not listed in one of the sites, you will assign the primary site to lung C34.90 and the mets code to C79.9.

If you have metastatic carcinoma of bone, you will use the same rules as above. So is the bone the primary or the mets? It doesn’t really say, so since bone is listed as one of the sites, it will become the mets, and you will assign C79.51 for the bone mets and C80.1 as the unspecified primary.

Make sense?

Here is one for the brain. How is metastatic carcinoma to the brain coded? Is brain cancer the primary or the secondary? Follow the list, since brain is listed, it will become the secondary cancer or the mets and you will assign unspecified primary, so your codes will be C79.31 for brain mets and C80.1 for primary malignancy.

Hope this helps a little bit.

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