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CPC · Question #11

A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The…

The correct answer is D. D38.1, C56.9, C78.7. For a patient with a mass in the left lower lung suspected to be cancer that is currently documented as a tumor of uncertain behavior, with existing ovarian cancer with metastases to the liver, the ICD- 10-CM codes are: D38.1: Neoplasm of uncertain behavior of bronchus and…

ICD-10-CM

Question

A 44-year-old female patient with chest pains had a CT of her chest that identified a mass in her left lower lung. The patient currently has ovarian cancer with metastases to the liver. The radiologist suspects the cancer has spread to her lungs. The physician performed an outpatient bronchoscopic biopsy and the pathology report documents the mass as a tumor of uncertain behavior. What ICD-10-CM codes are reported for this patient?

Options

  • AR91.8, C56.9, C78.7
  • BC56.9, C78.7, C78.02
  • CC78.02, C22.9, C79.82
  • DD38.1, C56.9, C78.7

How the community answered

(54 responses)
  • A
    19% (10)
  • B
    4% (2)
  • C
    11% (6)
  • D
    67% (36)

Explanation

For a patient with a mass in the left lower lung suspected to be cancer that is currently documented as a tumor of uncertain behavior, with existing ovarian cancer with metastases to the liver, the ICD- 10-CM codes are: D38.1: Neoplasm of uncertain behavior of bronchus and lung. C56.9: Malignant neoplasm of unspecified ovary. C78.7: Secondary malignant neoplasm of liver and intrahepatic bile duct. D38.1 is used because the behavior of the lung tumor is uncertain, and C56.9 and C78.7 are used to document the known primary and metastatic cancers.

Topics

#neoplasm uncertain behavior#metastatic cancer#ovarian cancer#sequencing

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