tci General Surgery Coding Alert - 2014 Issue 11

Reader Question: Stick To Pathology Dx for ICD-9 Choice

Question: We received a pathology report on a breast case that stated, “lobular carcinoma in situ (LCIS) no malignancy found.” According to information I’ve found from the American Cancer Society, LCIS is not considered pre-cancerous because it does not seem to turn to invasive cancer if left untreated. What diagnosis code should I assign for this case? Super Coder Subscriber Answer: Regardless of the pathologist’s interpretation, “no malignancy found,” or the American Cancer Society information about the prognosis for LCIS, ICD-9 provides just one code for LCIS: 233.0 (Carcinoma in situ of...

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