Take careful note of which code to turn to when the bone is NOS.
Coding arm and leg bone neoplasms can slow down your workflow if you can't decide whether a bone is long or short. Keep this list nearby to help you move more swiftly through your claims.
Tip:
For both the upper and lower limbs, ICD-9-CM lists "bones NOS" under the "long bones" code. NOS means the medical record does not provide enough information to select a more specific code.
UPPER LIMB
Long: 170.4, Malignant neoplasm of scapula and long bones of upper limb
- Acromion
- Bones NOS of upper limb
- Humerus
- Radius
- Ulna
Short: 170.5, Malignant neoplasm of short bones of upper limb
- Carpal
- Cuneiform, wrist
- Metacarpal
- Navicular, of hand
- Phalanges of hand
- Pisiform
- Scaphoid (of hand)
- Semilunar or lunate
- Trapezium
- Trapezoid
- Unciform
LOWER LIMB
Long: 170.7, Malignant neoplasm of long bones of lower limb
- Bones NOS of lower limb
- Femur
- Fibula
- Tibia
Short: 170.8, Malignant neoplasm of short bones of lower limb
- Astragalus [talus]
- Calcaneus
- Cuboid
- Cuneiform, ankle
- Metatarsal
- Navicular (of ankle)
- Patella
- Phalanges of foot
- Tarsal