Keep your critical coding and billing tools with you no matter where you work.
Create your Find-A-Code account today!
tci Part B Insider - 2014 Issue 33
Reader Question: Avoid Malignancy Codes When Not Accurate
Question: Our physician is treating a patient for lung cancer. The patient has no brain malignancy and was administered prophylactic treatment for the brain. This was previously reported as brain cancer. Is this correct? What are the correct codes for the brain treatment when the patient actually is receiving only prophylactic therapy?
Answer: It is incorrect to report the brain malignancy in this situation. The brain cancer potential as a secondary malignancy to lung cancer cannot be reported as an assumption.
In diagnosis coding issues like this, you should report diagnosis code 162.X (Malignant neoplasm of trachea bronchus...
To read the full article, sign in and subscribe to tci Part B Insider.
Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4800 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.