tci General Surgery Coding Alert - 2021 Issue Q2

Reader Questions: Capture ICD-10 Codes Post-Whipple

Question: A patient developed hypoinsulinemia and diabetes after our surgeon performed a Whipple procedure involving a total pancreatectomy to treat pancreatic cancer in the head of the pancreas. Our surgeon is providing surgical aftercare, while, simultaneously, an oncologist is planning chemotherapy and radiation. What diagnosis codes should we use for this case? Ohio Subscriber Answer: For encounters with your surgeon following the Whipple procedure, you’ll need to code the cancer as C25.0 (Malignant neoplasm of head of pancreas). Although the cancer was surgically removed, the patient is in ongoing treatment using chemotherapy and radiation therapy, so you...

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