ICD 10 Coding Alert
Reader Question:
C34. Requires Location for Malignant Neoplasm of Main Bronchus
Published on Mon Jan 08, 2001
Question: Can you outline ICD-10 changes for malignant bronchial neoplasms? Our radiology practice frequently codes for these.
Washington Subscriber
Answer: ICD-9 2011 and ICD-10 2011 both have coding options for a malignant neoplasm of the main bronchus. Both indicate that the codes are appropriate for malignant neoplasms of the carina or hilus of lung.
What's different: ICD-9 2011 includes simply 162.2 (Malignant neoplasm of main bronchus).
ICD-10 2011, on the other hand, offers options specific to location:
- Unspecified: C34.00 -- Malignant neoplasm of unspecified main bronchus
- Right: C34.01 -- Malignant neoplasm of right main bronchus
- Left: C34.02 -- Malignant neoplasm of left main bronchus.
ICD-10 2011 also lists an instruction to "Use additional code to identify":
- Exposure to environmental tobacco smoke (Z77.22)
- Exposure to tobacco smoke in the perinatal period (P96.81)
- History of tobacco use (Z87.891)
- Occupational exposure to environmental
- tobacco smoke (Z57.31)
- Tobacco dependence (F17.-) Tobacco use (Z72.0).
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