Oncology & Hematology Coding Alert
Select This Code for Sex-Cord Stromal Tumors
Question: We received a report from the path lab that said “right ovarian cyst resection. Sex-cord stromal tumor, consistent with Sertoli- Leydig tumor.” What code should I assign for this? AAPC Forum Participant Answer: Even though ICD-10-CM guideline IV.H tells you that you should “not code diagnoses documented as ‘probable,’ ‘suspected,’ ‘questionable,’ ‘rule out,’ or ‘working diagnosis’ or other similar terms indicating uncertainty,” the Alphabetic Index points you to the same place for both the sex-cord stromal tumor diagnosis and the “consistent with” Sertoli- Leydig tumor diagnosis. To find the correct code, you should first go to Tumor in the Alphabetic Index. There, you’ll find the entry for sex cord (stromal), which directs you to “see Neoplasm, uncertain behavior, by site.” This will lead you to D39.11 (Neoplasm of uncertain behavior of right ovary). Remember: The D39.1- codes contain an instruction for you to use an additional code to identify any functional activity. For ovarian tumors, that means adding codes that document the influence their hormonal activity has on other body functions such as menstrual cycles, ovulation, and reproduction.
Related Articles
Oncology & Hematology Coding Alert
- News You Can Use:
Know What’s Coming Your Way in the 2024 CPT® Updates
Major chemo changes, minor E/M time shifts lead the way. The annual updates to the [...] - Coding Quiz:
Raise Your Breast Cancer Coding Awareness With This Quiz
Know how to navigate within and beyond the C50.- codes. October is breast cancer awareness [...] - Practice Management:
Get the Answers to Your Frequently Asked New/Established Patient Questions
The three-year rule isn’t the only thing you need to know. Evaluation and management (E/M) [...] - Coding Quiz Answers:
Check Your Answers to Our Breast Cancer Coding Quiz
See if it’s time to brush up your ICD-10-CM guideline knowledge. Once you’ve answered the [...] - You Be the Coder:
Pinpoint These Codes for Med Refill Encounters
Question: If a patient comes in for medication refills for a chronic condition, and the provider [...] - Reader Questions:
Document Provider Involvement for Treatment Device Complexity
Question: What documentation is needed for codes 77332-77334? I was given some notes that include imaging [...] - Reader Questions:
Take This Tip for Successful ECG Reporting
Question: Techs employed by our center perform electrocardiograms (ECGs) on certain patients to check for toxicity. [...] - Reader Questions:
Select This Code for Sex-Cord Stromal Tumors
Question: We received a report from the path lab that said “right ovarian cyst resection. Sex-cord [...]
