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General Surgery Coding Alert

ICD-10:

D05: Expand Beyond 233.0 for Breast Cancer 'In situ'

Published on Wed Jun 13, 2012

Location and type lead code choice.Expect significant changes in how you report in situ breast cancers once ICD-10 goes into effect -- even if you'll have a little longer to prepare for the switch. Don't forget: CMS has announced a proposed implementation delay from Oct. 1, 2013 for the new diagnosis code set, but the new implementation date is not yet finalized.Look for Specific Type, Location in ICD-10While ICD-9 provides just one code for in situ breast cancer (233.0, Carcinoma in situ of breast), you'll have 12 codes to choose from when ICD-10 goes into effect.The new code set divides these cancers into four categories by "type": lobular, intraductal, other specified, and unspecified. You'll also need to designate whether the tumor is from the left, right, or unspecified breast. Here are the ICD-10 crosswalk code choices for 233.0:D05.00 -- Lobular carcinoma in situ of unspecified breastD05.01 -- ... right breastD05.02 -- ... left breastD05.10 -- [...]
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