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Urology Coding Alert

ICD-10:

Plan For Six Renal Tumor Diagnosis Codes in 2013

Published on Sun Jan 16, 2011

Right and left will matter under ICD-10.When your urologist diagnoses that a patient has a renal tumor you have two codes to choose from under ICD-9 Codes :ICD-9 189.0  -- Malignant neoplasm of kidney and other and unspecified urinary organs; kidney, except pelvisICD-9 189.1  -- Malignant neoplasm of renal pelvis.Starting on Oct. 1, 2013, you will have six codes to choose from for renal tumors. Under ICD-10 you will first have to determine if the tumor is in the patient's renal pelvis or the kidney. That will lead you to the general codes C64 (Malignant neoplasm of kidney, except renal pelvis) and C65 (Malignant neoplasm of renal pelvis).The new stuff: With ICD-10 you can't stop there, however. C64 and C65 require a fourth digit. To determine that fourth digit, you will have to scour your urologist's documentation for information about whether the tumor is in the right or left kidney [...]
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