ICD 10 Coding Alert
Check Your Breast Cancer Coding Knowledge
Make sure you’re acknowledging history codes. Patients who have conditions requiring surgical procedures on breast tissue may have diagnoses that come from a pathologist’s report, instead of or in addition to the surgeon’s findings. Consider these four scenarios and evaluate your knowledge. When you’re ready to check your answers, turn to page 5. Question 1: Following a biopsy procedure from the upper inner and upper outer left-breast quadrants, the pathology report returns a diagnosis of lobular carcinoma. How would you report this, specifically considering any further information you might need to ensure accurate code assignment? Question 2: How would you code a breast lesion excision from a male patient’s right nipple and areola diagnosed in the pathology report as infiltrating ductal carcinoma? Question 3: A patient’s breast biopsy comes back from the pathologist with a diagnosis of lipoma. What ICD-10-CM code would you use in this case? Question 4: A patient with a family history of breast cancer has a small lump next to the left nipple, with nipple discharge. Following a biopsy, the pathologist diagnoses papilloma. How should you code this?
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