Prepare for new liver biopsy diagnosis options.
When you start using ICD-10 on Oct. 1, 2013, you'll need to leave your 155.0 comfort zone and start using more specific codes for primary liver neoplasms that your pathologist diagnoses.
ICD-9 Gives One Choice
A number of diagnoses fall under the ICD-9 code you currently use, as follows:
- 155.0, Malignant neoplasm of liver primary
Carcinoma:
liver, specified as primary
hepatocellular
liver cell
Hepatoblastoma
Find Many Choices in ICD-10
The new code set does not provide a one-to-one corresponding code. Instead, you'll need to choose from a number of possibilities for liver biopsy results:
- C22.0, Liver cell carcinoma
Hepatocellular carcinoma
Hepatoma
- C22.2, Hepatoblastoma
- C22.3, Angiosarcoma of liver
Kupffer cell sarcoma
- C22.4, Other sarcomas of liver
- C22.7, Other specified carcinomas of liver
- C22.8, Malignant neoplasm of liver, primary, unspecified as to type.
Documentation:
If your pathologist's current documentation format doesn't distinguish between hepatoma rather than hepatoblastoma or angiosarcoma, add the C22.- diagnoses to your provider education and clinical documentation improvement strategy in preparation for the transition to ICD-10.
Coder tip:
For the C22.- codes, ICD-10 instructs you to use an additional code to identify:
- Alcohol abuse and dependence (F10.-)
- Hepatitis B (B16.-, B18.0-B18.1)
- Hepatitis C (B17.1-, B18.2).
Remember:
When ICD-10 goes into effect on Oct. 1, 2013, you should apply the code set and official guidelines in effect for the date of service reported. Learn more at
www.cms.gov/ICD10/ and
www.cdc.gov/nchs/icd/icd10cm.htm#10update.