icd-10-cm code for metastatic breast cancer

by Ms. Kallie Ernser Sr. 6 min read

Secondary malignant neoplasm of breast
C79. 81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM C79. 81 became effective on October 1, 2021.

Full Answer

What is the ICD 10 code for breast cancer?

Breast Cancer ICD-10 Code Reference Sheet. FEMALE. Right. C50.011. Malignant neoplasm of nipple and areola, right female breast. C50.111. Malignant neoplasm of central portion, right female breast. C50.211. Malignant neoplasm of upper-inner quadrant, right female breast.

What is the ICD 10 code for malignant neoplasm?

C50.919 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Short description: Malignant neoplasm of unsp site of unspecified female breast. The 2021 edition of ICD-10-CM C50.919 became effective on October 1, 2020.

What is the C-level for metastatic breast cancer?

A: Well, it’s very easy to get confused, like I said, but you have two options with it just saying metastatic breast. You could go with C50.919 – malignant neoplasm of unspecified site, of unspecified female breast. That is an option but a better and the best option is C79.81 – secondary malignant neoplasm of the breast.

What is secondary malignant neoplasm of the breast?

Secondary malignant neoplasm of breast. The spread of cancer to the breast. This may be from a primary breast cancer on the opposite side, or from a cancer at a distant site.

What is the code for a primary malignant neoplasm?

When will the ICD-10 C50.919 be released?

What is the table of neoplasms used for?

About this website

image

How do you code metastatic breast cancer?

Code C80. 0, Disseminated malignant neoplasm, unspecified, is for use only in those cases where the patient has advanced metastatic disease and no known primary or secondary sites are specified. It should not be used in place of assigning codes for the primary site and all known secondary sites.

What is the ICD 10 code for metastatic cancer unspecified?

The 2022 edition of ICD-10-CM C79. 9 became effective on October 1, 2021. This is the American ICD-10-CM version of C79.

What is the ICD 10 code C50 919?

919 Malignant neoplasm of unspecified site of unspecified female breast.

What is the ICD 10 code for breast cancer in remission?

ICD-10-CM Code for Personal history of malignant neoplasm of breast Z85. 3.

Is metastatic cancer primary or secondary?

Metastatic cancer has the same name as the primary cancer. For example, breast cancer that spreads to the lung is called metastatic breast cancer, not lung cancer. It is treated as stage IV breast cancer, not as lung cancer.

What is the ICD 10 code for metastatic unknown primary?

ICD-10-CM Code for Malignant (primary) neoplasm, unspecified C80. 1.

What does c50 912 mean?

912 - Malignant neoplasm of unspecified site of left female breast.

What is ICD-10 code N63?

2022 ICD-10-CM Diagnosis Code N63: Unspecified lump in breast.

What is diagnosis code Z51 11?

ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is metastatic breast cancer?

When breast cancer spreads to an area farther from where it started to another part of the body, doctors say that the cancer has “metastasized.” They call the area of spread a “metastasis,” or use the plural of “metastases” if the cancer has spread to more than 1 area. The disease is called metastatic breast cancer.

Can Z85 3 be a primary diagnosis?

Z85. 3 can be billed as a primary diagnosis if that is the reason for the visit, but follow up after completed treatment for cancer should coded as Z08 as the primary diagnosis.

What is the ICD 10 code for right breast cancer?

ICD-10 code C50. 911 for Malignant neoplasm of unspecified site of right female breast is a medical classification as listed by WHO under the range - Malignant neoplasms .

When a cancer is said to have metastasized It means that?

The spread of cancer cells from the place where they first formed to another part of the body. In metastasis, cancer cells break away from the original (primary) tumor, travel through the blood or lymph system, and form a new tumor in other organs or tissues of the body.

What is the ICD-10 code for C79 9?

9: Secondary malignant neoplasm, site unspecified.

What is C79 51 diagnosis?

C79. 51 Secondary malignant neoplasm of bone - ICD-10-CM Diagnosis Codes.

What is malignant neoplasm unspecified?

A malignant neoplasm (NEE-oh-plaz-um) is another term for a cancerous tumor. The term “neoplasm” refers to an abnormal growth of tissue. The term “malignant” means the tumor is cancerous and is likely to spread (metastasize) beyond its point of origin.

ICD-10-CM Code C50.919 - Malignant neoplasm of unspecified site of ...

C50.919 is a billable ICD code used to specify a diagnosis of malignant neoplasm of unspecified site of unspecified female breast. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

Clear Up Confusion as to When Cancer Becomes “History Of”

I’d like to thank Emily for such a clear, concise reckoning on when to code ‘history of’ cancer. As a Clinical Documentation Improvement specialist in the Oncology setting, I come across this topic quite often.

2022 ICD-10-CM Diagnosis Code C18.9: Malignant neoplasm of colon ...

Free, official coding info for 2022 ICD-10-CM C18.9 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.

2022 ICD-10-CM Diagnosis Code C50.911: Malignant neoplasm of ...

Free, official coding info for 2022 ICD-10-CM C50.911 - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more.

Breast Cancer ICD-10 Code Reference Sheet | Ambry Genetics

Breast Cancer ICD-10 Code Reference Sheet

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

When will the ICD-10 C50.919 be released?

The 2022 edition of ICD-10-CM C50.919 became effective on October 1, 2021.

What is the table of neoplasms used for?

The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.

What are the genes that increase the risk of breast cancer?

genes - there are two genes, brca1 and brca2, that greatly increase the risk. Women who have family members with breast or ovarian cancer may wish to be tested.

What is a malignant neoplasm?

A malignant neoplasm in which there is infiltration of the skin overlying the breast by neoplastic large cells with abundant pale cytoplasm and large nuclei with prominent nucleoli (paget cells). It is almost always associated with an intraductal or invasive ductal carcinoma of the breast.

What is intraductal carcinoma?

An intraductal carcinoma of the breast extending to involve the nipple and areola, characterized clinically by eczema-like inflammatory skin changes and histologically by infiltration of the dermis by malignant cells (paget's cells). (Dorland, 27th ed) Breast cancer affects one in eight women during their lives.

What does the title of a manifestation code mean?

In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.

Can breast cancer be detected early?

Breast self-exam and mammography can help find breast cancer early when it is most treatable. Treatment may consist of radiation, lumpectomy, mastectomy, chemotherapy and hormone therapy.men can have breast cancer, too, but the number of cases is small. nih: national cancer institute.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

What is secondary malignant neoplasm of bilateral breasts?

Secondary malignant neoplasm of bilateral breasts. Clinical Information. The spread of cancer to the breast. This may be from a primary breast cancer on the opposite side, or from a cancer at a distant site.

What is a C25.9?

secondary carcinoid tumors ( C7B.-) secondary neuroendocrine tumors ( C7B.-) The spread of cancer to the breast.

When will the ICd 10 C79.81 be released?

The 2022 edition of ICD-10-CM C79.81 became effective on October 1, 2021.

What is the table of neoplasms used for?

The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion '), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous such as tumors in different quadrants of the same breast, codes for each site should be assigned.

What is the Z85 code for a primary malignancy?

When a primary malignancy has been previously excised or eradicated from its site and there is no further treatment directed to that site and there is no evidence of any existing primary malignancy at that site, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy. Any mention of extension, invasion, or metastasis to another site is coded as a secondary malignant neoplasm to that site. The secondary site may be the principal or first-listed with the Z85 code used as a secondary code.

How to reference neoplasm table?

The neoplasm table in the Alphabetic Index should be referenced first. However, if the histological term is documented, that term should be referenced first, rather than going immediately to the Neoplasm Table, in order to determine which column in the Neoplasm Table is appropriate. Alphabetic Index to review the entries under this term and the instructional note to “see also neoplasm, by site, benign.” The table provides the proper code based on the type of neoplasm and the site. It is important to select the proper column in the table that corresponds to the type of neoplasm. The Tabular List should then be referenced to verify that the correct code has been selected from the table and that a more specific site code does not exist.

What is Chapter 2 of the ICD-10-CM?

Chapter 2 of the ICD-10-CM contains the codes for most benign and all malignant neoplasms. Certain benign neoplasms , such as prostatic adenomas, may be found in the specific body system chapters. To properly code a neoplasm, it is necessary to determine from the record if the neoplasm is benign, in-situ, malignant, or of uncertain histologic behavior. If malignant, any secondary ( metastatic) sites should also be determined.

When a pregnant woman has a malignant neoplasm, should a code from subcatego?

When a pregnant woman has a malignant neoplasm, a code from subcategory O9A.1 -, malignant neoplasm complicating pregnancy, childbirth, and the puerperium, should be sequenced first, followed by the appropriate code from Chapter 2 to indicate the type of neoplasm. Encounter for complication associated with a neoplasm.

When is the primary malignancy or appropriate metastatic site designated as the principal or first-listed diagnosis?

When the reason for admission/encounter is to determine the extent of the malignancy, or for a procedure such as paracentesis or thoracentesis, the primary malignancy or appropriate metastatic site is designated as the principal or first-listed diagnosis, even though chemotherapy or radiotherapy is administered.

When a patient is admitted because of a primary neoplasm with metastasis and treatment is?

When a patient is admitted because of a primary neoplasm with metastasis and treatment is directed toward the secondary site only , the secondary neoplasm is designated as the principal diagnosis even though the primary malignancy is still present .

What is the code for metastatic cancer?

If the documentation states the cancer is a metastatic cancer, but does not state the site of the metastasis, the coder will assign a code for the primary cancer, followed by code C79.9 secondary malignant neoplasm of unspecified site.

What is the code for primary cancer?

If the site of the primary cancer is not documented, the coder will assign a code for the metastasis first, followed by C80.1 malignant (primary) neoplasm, unspecified. For example, if the patient was being treated for metastatic bone cancer, but the primary malignancy site is not documented, assign C79.51, C80.1.

When coding malignant neoplasms, there are several coding guidelines we must follow?

When coding malignant neoplasms, there are several coding guidelines we must follow:#N#To properly code a malign ant neoplasm, the coder must first determine from the documentation if the neoplasm is a primary malignancy or a metastatic (secondary) malignancy stemming from a primary cancer.

What is a history code for cancer?

When a current cancer is no longer receiving treatment of any kind, it is coded as a history code. For instance, the patient had breast cancer (C50.xx) and underwent a mastectomy, followed by chemoradiation. The provider documents that the patient has no evidence of disease (NED).

What is C50.xx?

For instance, a patient who has primary breast cancer (C50.xx) who is now seen for metastatic bone cancer will have a code for the secondary bone cancer (C79.51) sequenced before a code for the primary breast cancer (C50.xx). When a current cancer is no longer receiving treatment of any kind, it is coded as a history code.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

What is metastatic thyroid cancer?

Thyroid cancer metastatic to bone. Clinical Information. Cancer that has spread from the original (primary) tumor to the bone. The spread of a malignant neoplasm from a primary site to the skeletal system. The majority of metastatic neoplasms to the bone are carcinomas.

What is a C25.9?

secondary carcinoid tumors ( C 7B.-) secondary neuroendocrine tumors ( C7B.-) Cancer that has spread from the original (primary) tumor to the bone.

When will the ICd 10 C79.51 be released?

The 2022 edition of ICD-10-CM C79.51 became effective on October 1, 2021.

What is the table of neoplasms used for?

The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

When will the ICD-10 C50.919 be released?

The 2022 edition of ICD-10-CM C50.919 became effective on October 1, 2021.

What is the table of neoplasms used for?

The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes. Primary malignant neoplasms overlapping site boundaries.

image