Reviewing breast cancer in ICD-10-CM/PCS

October 17th, 2017

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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 premium article explains the general ICD-10-CM and ICD-10-PCS coding considerations associated with breast cancer care. It is aimed at coders, CDI professionals, and revenue cycle staff who need to understand how the topic is handled across diagnosis coding and procedure coding, including treatment scenarios and evolving therapies. The article also places the coding discussion in the broader context of breast cancer diagnosis, surgery, radiation, chemotherapy, and immunotherapy.

Why This Topic Matters

Breast cancer appears in a variety of clinical and procedural scenarios, so accurate code assignment depends on understanding whether the encounter is for diagnosis, surgery, radiation, systemic therapy, or another treatment path. This article helps readers recognize the major ICD-10-CM and ICD-10-PCS subjects involved so they can find the full guidance relevant to their work.

Article Sections

  1. Breast cancer and ICD-10-CM

    Introduces the diagnosis-coding considerations for breast cancer encounters and the broader categories used when classifying neoplasms. It also discusses how treatment context affects principal diagnosis assignment in ICD-10-CM.

  2. Breast cancer and ICD-10-PCS

    Reviews the procedure-coding side of breast cancer care, including diagnostic procedures, breast surgery, lymph node work, and non-surgical treatment approaches. The section also touches on how ICD-10-PCS tables are used for these types of encounters.

  3. Summary

    Provides a brief wrap-up emphasizing the broader importance of breast cancer treatment developments and awareness. This section is non-technical and does not add new coding guidance.

What You Will Learn

  • How the article frames breast cancer coding across ICD-10-CM and ICD-10-PCS
  • Which broad diagnosis categories are relevant in neoplasm coding
  • How the article approaches procedure coding for breast cancer-related care
  • What general treatment categories are discussed in the context of coding review
  • How the article situates newer therapies within the coding discussion

Who Should Read This

  • Medical coders
  • Coding educators
  • Clinical documentation integrity professionals
  • HIM professionals
  • Revenue cycle staff
  • Outpatient and inpatient coding teams

Codes Discussed

  • ICD-10-CM: C77.3
  • ICD-10-CM: Z51.-
  • ICD-10-CM: Z51.0
  • ICD-10-PCS: 0HBT3ZX
  • ICD-10-PCS: 0HBT0ZZ
  • ICD-10-PCS: 0HB-
  • ICD-10-PCS: 0HTT0ZZ
  • ICD-10-PCS: 0HTV0ZZ
  • ICD-10-PCS: 0HT-
  • ICD-10-PCS: 07T50ZZ
  • ICD-10-PCS: 0KTH0ZZ
  • ICD-10-PCS: 3E0-

Code Ranges Discussed

  • ICD-10-CM: Z51.-

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