prostate cancer icd 10

Prostate Cancer in ICD-10

With a few differences, the ICD-10-CM Official Recommendations for Coding and Reporting for Neoplasms are comparable to the ICD-9-CM official coding guidelines.The ICD-10-CM neoplasm coding guidelines are summarized as follows:

# When the treatment is directed targeting the cancer, designate it as the primary diagnosis.Assign the appropriate Z51 code as the primary diagnosis and the malignancy as the secondary diagnosis if a patient is admitted only for the administration of chemotherapy, immunotherapy, or radiation therapy.

# When only the secondary (metastatic) neoplasm is treated, even though the primary site is still present, designate the secondary-site neoplasm as the primary diagnosis.

# When a patient is admitted for anemia accompanied with a cancer, sequence the malignancy as the primary diagnosis.Anemia in neoplastic illness, code D63.0, is assigned as a secondary diagnosis.The current ICD-9-CM Official Guidelines for Coding and Reporting have been replaced by this guideline.

# When a patient is admitted for the treatment of anemia caused by an adverse effect of chemotherapy, immunotherapy, or radiotherapy and the treatment is only for the anemia, sequence the adverse effect code as the primary diagnosis.As secondary diagnoses, the codes for anemia and neoplasm should be added.

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# When the admission is for the management of dehydration caused by a malignancy or therapy, and only the dehydration is being treated, sequence dehydration as the primary diagnosis.

# If the hospitalization is for the treatment of a complication resulting from a surgical operation and the treatment is geared at resolving the complication, sequence the complication as the primary diagnosis.

# When the primary malignancy has been previously excised or eradicated from its site and there is no therapy directed at that site and no evidence of any persisting malignancy at the primary site, assign a code from category Z85, Personal history of primary and secondary malignant neoplasm.Extension, invasion, or metastasis of a malignant tumor to another place is recorded as a secondary malignant neoplasm to that site.If treatment is focused at the metastatic site, the metastatic site may be sequenced as the primary diagnosis.

# When a patient is admitted for surgical excision of a tumor followed by chemotherapy or radiation therapy, sequence the neoplasm as the primary diagnosis.

#  Sequence code Z51.11 (Admit for chemotherapy), Z51.12 (Admit for immunotherapy), or Z51.0 (Admit for radiation) as the primary diagnosis if the patient is admitted only for the purpose of undergoing chemotherapy, immunotherapy, or radiotherapy.If the patient receives more than one of the therapies, more than one of these codes may be allocated.

# If a patient is admitted for chemotherapy, immunotherapy, or radiotherapy and develops a problem after admission, a code from category Z51 will be the primary diagnosis.

# Even if chemotherapy or radiation therapy is performed, sequence the malignancy (either primary or secondary) as the primary diagnosis if the patient is admitted to determine the extent of the malignancy (staging) or for a procedure such as thoracentesis or paracentesis.

# When a patient is admitted with signs and symptoms that are associated to a malignancy, sequence the malignancy as the primary diagnosis.

# Assign a code to all metastatic and primary locations that the physician has documented.If the patient has advanced metastatic disease and the primary or secondary sites are not specified, use code C80.0, Disseminated malignant neoplasm, unspecified.

# If the primary site neoplasm is not recorded, assign code C80.1, Malignant neoplasm, unspecified.

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