icd 10 code for bilateral ovarian cancer

by Eugenia Wilderman PhD 8 min read

C56.3 Malignant neoplasm of bilateral ovaries – New Code
The laterality of an ovarian cancer is best assigned by the Gynecologic Oncologist. These codes assign the site of the primary, not the sites of metastatic disease. Most often ovarian cancers are advanced and bilateral.
Nov 10, 2021

What is the ICD 10 code for ovary cancer?

Sex cord tumor of ovary; Undifferentiated carcinoma of ovary; ICD-10-CM C56.9 is grouped within Diagnostic Related Group(s) (MS-DRG v 38.0): 736 Uterine and adnexa procedures for ovarian or adnexal malignancy with mcc; 737 Uterine and adnexa procedures for ovarian or adnexal malignancy with cc

What is the C56 code for bilateral ovarian cancer?

If you have bilateral ovarian cancer, you should use BOTH the right ovarian cancer (C56.1) and the left ovarian cancer (C56.2) codes. The unspecified code (C56.9) might be appropriate for a patient diagnosed on biopsy if it is impossible to determine a site of origin.

What is the ICD 10 code for neoplasm of the left ovary?

Malignant neoplasm of left ovary. C56.2 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2020 edition of ICD-10-CM C56.2 became effective on October 1, 2019.

What is the CPT code for debulking of ovarian cancer?

Those procedures are included as “debulking”. 58957 is a code that is used for resection of recurrent gynecologic cancer. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done. Can I use 49205 for removing a large (>10cm) ovarian mass through a laparotomy incision?

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Which ovarian cancer is bilateral?

Epithelial ovarian cancer is the most frequent gynecologic malignancy; it has a poor prognosis and often occurs bilaterally. Most cases of synchronous bilateral ovarian cancer (SBOC) are metastases from the other ovary, while bilateral primary ovarian cancer is rare.

What is the ICD-10 code for metastatic ovarian cancer?

Malignant neoplasm of unspecified ovary The 2022 edition of ICD-10-CM C56. 9 became effective on October 1, 2021.

What is the ICD-10 code for right ovarian cancer?

ICD-10-CM Code for Malignant neoplasm of right ovary C56. 1.

What is the ICD-10 for bilateral?

H92. 03 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 H92. 03 became effective on October 1, 2021.

What is the ICD-10 code for history of ovarian cancer?

ICD-10 code Z85. 43 for Personal history of malignant neoplasm of ovary is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

What is metastatic ovarian cancer?

Stage 4 ovarian cancer is classed as advanced (metastatic) cancer. This means the cancer has spread away from the ovary to other body organs, such as the liver or lungs. The aim of treatment is to control the cancer for as long as possible. And to help you feel better and live longer.

How do you code ovarian cancer?

If you have bilateral ovarian cancer, you should use BOTH the right ovarian cancer (C56. 1) and the left ovarian cancer (C56. 2) codes. The unspecified code (C56.

What are the ICD-10 codes for cancer?

Malignant (primary) neoplasm, unspecified C80. 1 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 C80. 1 became effective on October 1, 2021.

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 the guideline on how do you code a bilateral condition?

B. General Coding Guidelines, 13. Laterality (second paragraph): When a patient has a bilateral condition and each side is treated during separate encounters, assign the “bilateral” code (as the condition still exists on both sides), including for the encounter to treat the first side.

When a bilateral ICD-10-CM code is not provided and the condition is bilateral?

ICD-10-CM codes indicate laterality, specifying whether the condition occurs on the left, right or is bilateral. If no bilateral code is provided and the condition is bilateral, assign separate codes for both the left and right side.

Which character in a code indicates laterality for bilateral sites?

For bilateral sites, the final character of the codes in the ICD-10-CM indicates laterality.

What is the laterality of ovarian cancer?

The laterality of an ovarian cancer is best assigned by the Gynecologic Oncologist. These codes assign the site of the primary, not the sites of metastatic disease. Most often ovarian cancers are advanced and bilateral. The new code allows that to be recorded. The unspecified code should rarely be used: if there is enough data to make the diagnosis of an ovarian cancer then the side (s) will generally be apparent as well.

Is ovarian cancer bilateral?

While most ovarian cancers are bilateral, ICD 10 terminology has not previously included a bilateral ovarian cancer code. This was appealed by the SGO Coding and Reimbursement Subcommittee. Each year, the Centers for Medicare & Medicaid Services (CMS) releases documents outlining new, deleted, and revised ICD-10 codes to become effective the new fiscal year starting each October. The FY22 updates effective Oct. 1, 2021 include 159 additions, 25 deletions, 27 revisions, and several general coding guideline updates.

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 C56.2 be released?

The 2022 edition of ICD-10-CM C56.2 became effective on October 1, 2021.

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 C56.1 be released?

The 2022 edition of ICD-10-CM C56.1 became effective on October 1, 2021.

What is the synonym for cancer of the ovary?

Malignant neoplasm of ovary. Approximate Synonyms. Cancer of the ovary. Cancer of the ovary with peritoneal metastases. Cancer of the ovary, disseminated. Cancer of the ovary, endometrioid. Cancer of the ovary, germ cell tumor. Cancer of the ovary, mixed mullerian. Cancer of the ovary, mucinous cystadenoca.

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.

Can multiple neoplasms be coded?

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. Malignant neoplasm of ectopic tissue. Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, ...

What is the ICD-10 code for ovarian cancer?

ICD-10 requires you to code to the greatest degree of specificity. If you have bilateral ovarian cancer, you should use BOTH the right ovarian cancer (C56.1) and the left ovarian cancer (C56.2) codes. The unspecified code (C56.9) might be appropriate for a patient diagnosed on biopsy if it is impossible to determine a site of origin.

What is the ICd10 code for peritoneal malignancy?

The series 58950-58952 can only be used with ICD10 codes for ovarian, tubal or primary peritoneal malignancy. 58953-58954 may be used with any diagnosis. All describe various combinations of procedures commonly performed for advanced gynecologic cancers.

What is CPT code 38573?

In 2018, the CPT code 38573 (Laparoscopy, surgical ; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy (ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy (ies), when performed.) was created to address situation where a Gyn Onc is asked to perform staging where another surgeon has performed the laparoscopic BSO ± hysterectomy.

What is the CPT code for a laparoscopic BSO?

For a laparoscopic BSO with staging (for a patient with prior hysterectomy, for instance), you can use the CPT code 38573 (Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling, peritoneal washings, peritoneal biopsy (ies), omentectomy, and diaphragmatic washings, including diaphragmatic and other serosal biopsy (ies), when performed) with a -22 modifier. That would be billed with the laparoscopic BSO CPT code 58661 with the -59 modifier for a second surgery. With any -22 modifier, you would need to have an operative note and letter requesting increased reimbursement with the rationale, in this case the extra time and effort for “debulking”.

What is the CPT code for a hysterectomy?

This code specifically excludes hysterectomy codes. If you perform a laparoscopic hysterectomy, BSO, debulking, the proper CPT code would be 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed).

What is the ICd code for appendectomy?

The operative report documentation should clearly describe the procedure and the reason for performing it. You should also append a distinct ICD code, such as C78.5, secondary malignant neoplasm of the large bowel.

What is 58957 code?

Those procedures are included as “debulking”. 58957 is a code that is used for resection of recurrent gynecologic cancer. If you are doing a primary debulking then you should use 58952-58954 depending on what else is done.

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 C57.02 be released?

The 2022 edition of ICD-10-CM C57.02 became effective on October 1, 2021.

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