AHA Coding Clinic® for ICD-9 - 2009 Issue 3; Ask the Editor

Prophylactic Organ Removal with Finding of Ovarian Malignancy

The patient is a 56 year-old female who is admitted for a prophylactic robotic-assisted laparoscopic total abdominal hysterectomy and bilateral laparoscopic salpingo-oophorectomy due to a high familial risk for ovarian cancer. A malignancy is subsequently found in the uterus. Coding Clinic, Fourth Quarter 1994, pages 44-45, addressed prophylactic organ removal. However, it did not address coding if a malignancy is found. Should a code for the malignancy be assigned as the principal diagnosis? Or, should a code from category V50.4 be assigned as principal diagnosis? ...

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