tci Outpatient Facility Coding Alert - 2017 Issue 12

Reader Question: Choose the Correct Malignant Neoplasm Code for Cauda Equina

Question: The physician documented a malignant neoplasm in the tuft of nerves at the terminal end of the patient's spinal cord. Which ICD-10 code should I choose? Ohio Subscriber Answer: In this case, you should choose C72.1 (Malignant neoplasm of cauda equina). Cauda equina is the bundle of spinal nerves and spinal nerve roots that originate in the tip of the spinal cord. This bundle consists of nerve pairs that originate from second lumbar level to fifth sacral level, and the coccygeal nerve. This bundle has both sensory and motor nerves and supplies the pelvic organs, perineum, and...

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