Hi all!
I'd like to get some other pathology coders opinions on this scenario - In the past, I was told the proper way to code a case like this would be to only use the invasive carcinoma but we've had a little shakeup in the way we code so now I'd like to get a 2nd opinion. Would just coding the invasive be the best or would you code both for the invasive and in situ breast?
Right breast, 11:00, 3 cm from nipple, ultrasound-guided core biopsy:
- Invasive carcinoma.
- Histologic type: Ductal with micropapillary component
- Estimated Grade: 2–3
- Greatest Length in a Single Core: 9 mm
- Small focus of ductal carcinoma in situ, intermediate nuclear grade, cribriform type with focal necrosis and microcalcifications.
I'd like to get some other pathology coders opinions on this scenario - In the past, I was told the proper way to code a case like this would be to only use the invasive carcinoma but we've had a little shakeup in the way we code so now I'd like to get a 2nd opinion. Would just coding the invasive be the best or would you code both for the invasive and in situ breast?
Right breast, 11:00, 3 cm from nipple, ultrasound-guided core biopsy:
- Invasive carcinoma.
- Histologic type: Ductal with micropapillary component
- Estimated Grade: 2–3
- Greatest Length in a Single Core: 9 mm
- Small focus of ductal carcinoma in situ, intermediate nuclear grade, cribriform type with focal necrosis and microcalcifications.