Oncology & Hematology Coding Alert
READER QUESTION ~ Don't Assume Mass = Neoplasm
Question: When the oncologist documents a -renal mass,- is this the same as a neoplasm? The answers for You Be the Coder and Reader Questions were reviewed by Cindy C. Parman, CPC, CPC-H, RCC, co-owner of Coding Strategies Inc. in Powder Springs, Ga., and president of the American Academy of Professional Coders National Advisory Board.
Oregon Subscriber
Answer: No. You shouldn't report 239.5 (Neoplasms of unspecified nature; other genitourinary organs) for a renal mass.
A mass such as a mass in the kidney may mean many things, including a malignant or benign process, abscess, cyst, or even a normal but hypertrophied portion of the kidney. You can't assume it is a neoplasm.
If you are unable to clarify the diagnosis with the physician, 593.9 (Unspecified disorder of kidney and ureter) is the most appropriate diagnosis.
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Question: When the oncologist documents a -renal mass,- is this the same as a neoplasm?
Oregon [...]
