tci General Surgery Coding Alert - 2000 Issue 5

You Be the Coder: Diagnosing Breast Lumps

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: Frequently, a physician will send a patient to us with what they feel is a palpable breast mass. The mammograms/ultrasound are negative. Examination reveals no masses but normal breast tissue. What diagnosis code do I use?Ellen SimmonsLansing, Mich. Answer: This question neatly describes a common ICD-9 dilemma: There are no codes for "rule out" or "suspected" conditions. Generally, says Eric Sandham, CPC, compliance educator for Central California Faculty Medical Group, a group practice and training facility...

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