Pathology/Lab Coding Alert
Stick With Ovarian Cancer Dx
Question: The pathologist examined a specimen that was a 6.7 x 4.8 x 3.3 cm pelvic mass attached to fallopian tube. The surgeon removed the mass for "debulking of recurrent ovarian cancer," and the pathology report confirms ovarian cancer. What is the correct ICD-10 code for this case? Maine Subscriber Answer: Despite association of the mass with the fallopian tube, or the surgeon describing the specimen as a "pelvic mass," you should code the mass based on the diagnosis. That means the correct code is one of the following, depending on the cancer location: Because this is a recurrent cancer at the initial site, you should not use a code for metastatic cancer from a distant site.
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