2018/2019 ICD-10-CM Diagnosis Code Z85.43. Personal history of malignant neoplasm of ovary. Z85.43 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The procedure described is an oophorectomy and the code 58720 is the same regardless of the size of the ovary. If there is excessive work required it should be documented in the operative report and a modifier 22 may be added. The 4920X codes are used when managing masses not involving the uterus, cervix, fallopian tube or ovary.
Laparoscopic surgical procedure converted to open procedure. Z53.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
How do you code for ovarian cancer with cancers in both ovaries? 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.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
Z53.09 Procedure and treatment not carried out because of other contraindication. Z53.1 Procedure and treatment not carried out because of patient's decision for reasons of belief and group pressure. Z53.2 Procedure and treatment not carried out because of patient's decision for other and unspecified reasons.
Personal history of other diseases of urinary system 1 Z87.448 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 2 The 2021 edition of ICD-10-CM Z87.448 became effective on October 1, 2020. 3 This is the American ICD-10-CM version of Z87.448 - other international versions of ICD-10 Z87.448 may differ.
Categories Z00-Z99 are provided for occasions when circumstances other than a disease, injury or external cause classifiable to categories A00 -Y89 are recorded as 'diagnoses' or 'problems'. This can arise in two main ways:
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.
There is therefore controversy about which code set to use. The options are: D39.1 Neoplasm of uncertain behavior of ovary. D39.10 Neoplasm of uncertain behavior of unspecified ovary.
You can use 58954 (Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy) with modifier 52. The 52 modifier indicates a “reduced service” since the hysterectomy component was not performed.
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.
Codes 58953-58956 can be used for cancer at all sites including the uterus. Although the selection of codes for treatment of gyn malignancy is fairly robust, there may be those occasions when the procedure actually performed is varied slightly from the available codes.
For example, a stage 4 ovarian cancer may be coded using 3 codes: C56.1 (malignant neoplasm of the right ovary), C78.6 (secondary malignancy of the peritoneum and retroperitoneum, and J91.0 (malignant pleural effusion). How do you code for borderline ovarian tumors ...
Is it always necessary to identify the sites of advanced ovarian or fallopian tube cancer in ICD-10? Yes, it is required for ICD-10 to identify the primary site of the tumor as well as sites of metastatic disease. Cancer codes for sites of metastatic disease are designated as “secondary cancer”.