ICD-10 Coding/Neoplasms

This lesson introduces ICD-10-CM Neoplasms.

Objectives and Skills
Objectives and skills for this lesson include:


 * 1) Apply ICD-10-CM coding guidelines for accurate selection and sequencing of diagnosis codes commonly used to describe neoplasms
 * 2) Apply ICD-10-PCS coding guidelines for accurate selection of procedure codes commonly used to diagnose and treat neoplasms

Guidelines
Guidelines Introduction Video

Chapter 2 Guidelines Powerpoint.

ICD-10-CM Official Guidelines for Coding and Reporting FY2019
Chapter 2 specific guidelines can be found on pages 29-36 of this document

Part 2 : Procedures
Excision, Resection, or Destruction of a body part

Excision vs Resection

-      Excision – sentinel lymph removed

-      Resection – the entire lymph node chain removed

Destruction: physical eradication of all or a portion of a body part by direct use of energy, force, or a destructive agent (Ex. Laser: Radiation Therapy)

What is the root operation for “Antineoplastic chemotherapy”? Introduction

Learning Resources
Cell Cycle : Cancer

Characteristics / Classifications of Neoplasms PPT

How to become a Cancer Registry Professional? Website

Common Surgical Procedures

Activities
Cancer Pathophysiology Quiz

Visit the following the National Cancer Institute website and answer the following question: What is cancer?

Check your understanding:


 * What is the difference between “remission” and “relapse”?
 * Remission
 * When the disease lessens in severity
 * Symptoms decrease and treatment discontinued
 * Relapse
 * Return of manifestations after an interval of improvement
 * May be a recurrence of the leukemia




 * What is G89.3? code for neoplasm-related pain
 * Where is the following guideline located ? ICD-10-CM / chapter 6 : Diseases of the Nervous System (G00 - G99)
 * Coding Guideline:
 * Neoplasm Related Pain Code G89.3 is assigned to pain documented as being related, associated or due to cancer, primary or secondary malignancy, or tumor. This code is assigned regardless of whether the pain is acute or chronic. This code may be assigned as the principal or first-listed code when the stated reason for the admission/encounter is documented as pain control/pain management. The underlying neoplasm should be reported as an additional diagnosis. When the reason for the admission/encounter is management of the neoplasm and the pain associated with the neoplasm is also documented, code G89.3 may be assigned as an additional diagnosis. It is not necessary to assign an additional code for the site of the pain. See Section I.C.2 for instructions on the sequencing of neoplasms for all other stated reasons for the admission/encounter (except for pain control/pain management).



Summary and Key Terms
 BAM Table: