Oncology & Hematology Coding Alert

Question:  Which "history of" code applies to myelomatosis in remission?

Texas Subscriber

Answer:  Rather than looking for a "history of" code, you should use 203.01 (Multiple myeloma; in remission).

The fifth digit allows you to describe the disease as being in remission, which basically means that the disease is no longer observable in the patient. The disease is not considered "cured," however.

Your other fifth digit options for 203.0x include:

• 0, ... without mention of having achieved remission (also appropriate for failed remission)
• 2, ... in relapse.