Clinical indications and outpatient coding for common forms of cancer

June 5th, 2018

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains broad outpatient coding topics related to common cancers. It covers how coders use neoplasm documentation, how breast and skin cancers are categorized in ICD-10-CM, and how related CPT procedure coding is discussed for biopsies, mastectomies, sentinel node procedures, and lesion excisions. It is intended for coders, billing staff, and other professionals who work with oncology-related outpatient records.

Why This Topic Matters

Accurate cancer coding depends on correct interpretation of diagnosis documentation and procedure details. This article helps readers understand the kinds of information that affect outpatient coding for common malignancies and related surgical services.

Article Sections

  1. Using the Alphabetic Index to code for neoplasms

    Introduces the general approach to neoplasm classification in ICD-10-CM and the documentation elements that support diagnosis coding. The section also explains broad distinctions among neoplasm types.

  2. Coding for breast cancer diagnoses, procedures

    Covers outpatient coding topics related to breast cancer, including diagnosis coding considerations and the types of breast biopsy and mastectomy procedures discussed in the article.

  3. Minimally invasive breast biopsies

    Describes the minimally invasive breast biopsy topic and the related CPT procedure categories reviewed in the article. It also notes the outpatient setting and imaging-guided biopsy context.

  4. Mastectomies and sentinel node biopsies

    Reviews mastectomy and sentinel lymph node biopsy topics, including how the article frames related CPT procedure coding and general reporting considerations.

  5. Identifying and reporting skin cancer

    Provides an overview of skin cancer types and the documentation concepts discussed for melanoma, basal cell carcinoma, squamous cell carcinoma, and lipoma.

  6. Melanoma

    Focuses on melanoma staging concepts and the ICD-10-CM categories referenced for melanoma coding. The discussion remains at a general educational level.

  7. Basal cell cancer

    Summarizes the article’s general discussion of basal cell carcinoma as a common form of skin cancer.

  8. Squamous cell cancer

    Summarizes the article’s general discussion of squamous cell carcinoma as another common form of skin cancer.

  9. Lipoma

    Covers the article’s brief discussion of lipomas and the related ICD-10-CM benign neoplasm topic.

  10. Procedural coding for the removal of a lesion

    Discusses the broad documentation elements used when coding lesion excision and the CPT procedure categories referenced for different lesion types and body areas.

What You Will Learn

  • How outpatient cancer coding articles organize neoplasm documentation topics
  • What broad ICD-10-CM neoplasm concepts are used for breast and skin cancer coding
  • Which general CPT procedure areas are discussed for breast biopsy, mastectomy, sentinel node, and lesion excision coding
  • What documentation elements are emphasized for reporting common cancer-related diagnoses and procedures

Who Should Read This

  • Medical coders
  • Outpatient coding specialists
  • Billing and reimbursement staff
  • Coding educators
  • Clinical documentation staff

Codes Discussed

  • ICD-10-CM: C50.311
  • ICD-10-CM: C50.911
  • ICD-10-CM: C50.912
  • CPT: 19081
  • CPT: 19082
  • CPT: 19083
  • CPT: 19084
  • CPT: 19085
  • CPT: 19086
  • CPT: 19301
  • CPT: 19302
  • CPT: 19303
  • CPT: 19304
  • CPT: 19307
  • CPT: 38525
  • CPT: 38900
  • ICD-10-CM: C43.31
  • ICD-10-CM: D17

Code Ranges Discussed

  • ICD-10-CM: C43
  • ICD-10-CM: D03
  • ICD-10-CM: C43.3
  • ICD-10-CM: D17
  • CPT: 11600-11606
  • CPT: 11620-11626
  • CPT: 11640-11646

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