Nonmalignant neoplasms of the lung are classified to code 212.3 for benign, 235.7 for uncertain behavior, and 239.1 for unspecified nature. If the lung cancer is considered a metastatic site—the cancer spread from another organ to the lung—code 197.0 is assigned.Apr 11, 2011
Basic DifferencesMalignantSecondary or MetastaticLungC34.9C78.0
2022 ICD-10-CM Diagnosis Code C34. 90: Malignant neoplasm of unspecified part of unspecified bronchus or lung.
ICD-10-CM Code for Secondary malignant neoplasm of unspecified site C79. 9.
Secondary lung tumors are neoplasms that spread from a primary lesion. The primary tumor can arise within the lung or outside the lung, with the metastases traveling through the bloodstream or lymphatic system or by direct extension to reach their destination.Feb 16, 2021
For example, lung mass and multiple lung nodules are specifically indexed to code R91. 8, Other nonspecific abnormal finding of lung field.Feb 28, 2017
Expand Section. Metastatic tumors in the lungs are cancers that developed at other places in the body (or other parts of the lungs). They then spread through the bloodstream or lymphatic system to the lungs. It is different than lung cancer that starts in the lungs.May 27, 2020
ICD-10-CM Code for Malignant neoplasm of unspecified part of right bronchus or lung C34. 91.
71271The Centers for Medicare & Medicaid Services (CMS) has authorized a screening benefit for lung cancer using low dose computed tomography (LDCT) scanning. There are two CPT/HCPCS codes associated with this benefit: G0296 for the initial visit and 71271 for the scan and subsequent intervention.
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.Nov 10, 2020
Secondary malignant neoplasm is a malignant tumor whose cause is the treatment (usually radiation or chemotherapy) which was used for a prior tumor. It must be distinguished from Metastasis from the prior tumor or a relapse from it since a secondary malignant neoplasm is a different tumor.
If patient presents for treatment of secondary site ONLY, report the secondary code first, followed by primary malignancy. C79. 9 (Secondary malignant neoplasm of unspecified site) should be assigned when no site is identified for the secondary neoplasm.
Functional activity. All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Morphology [Histology]
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.
C78.02 is a billable diagnosis code used to specify a medical diagnosis of secondary malignant neoplasm of left lung. The code C78.02 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code C78.02 might also be used to specify conditions or terms like adenocarcinoma of left lung, adenocarcinoma of right lung, malignant neoplasm of lower lobe bronchus, malignant neoplasm of lower lobe of left lung, malignant neoplasm of upper lobe bronchus , malignant neoplasm of upper lobe of left lung, etc.
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code C78.02 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Functional activity. All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Morphology [Histology]
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.
Functional activity. All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm. Morphology [Histology]
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.
Lung cancer is the second most common cancer among both men and women in the United States, and is the leading cause of cancer death among both sexes. The number one risk factor for lung cancer is cigarette smoking. There are two main types of lung cancer .
Non-small cell cancer includes squamous cell carcinoma (also called epidermoid carcinoma), large cell carcinoma, and adenocarcinoma. Codes for lung cancer are categorized by morphology, site, and laterality (except C34.2 Malignant neoplasm of middle lobe, brounchus or lung because only the right lung has a middle lobe ).
John Verhovshek, MA, CPC, is a contributing editor at AAPC. He has been covering medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University.
These guidelines, developed by the Centers for Medicare and Medicaid Services ( CMS) and the National Center for Health Statistics ( NCHS) are a set of rules developed to assist medical coders in assigning the appropriate codes. The guidelines are based on the coding and sequencing instructions from the Tabular List and the Alphabetic Index in ICD-10-CM.
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 .
Symptoms, signs, and ill-defined conditions listed in Chapter 18 characteristic of, or associated with, an existing primary or secondary site malignancy cannot be used to replace the malignancy as principal or first-listed diagnosis, regardless of the number of admissions or encounters for treatment and care of the neoplasm.
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, 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.
These tumors may represent different primaries or metastatic disease, depending on the site. Should the documentation be unclear, the provider should be queried as to the status of each tumor so that the correct codes can be assigned.
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.