bvilla7@brighthouse.com
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My question is regarding the use of V history of codes versus the primary code. A patient is diagnosed with stage IV kidney cancer. It is metastatic to the chest wall. The patient had a nephrectomy but is still receiving treatment (Chemo) because of the mets to chest wall. Am I going to use the V code for the kidney and the secondary code for the chest wall? Or should I use the primary kidney code and the secondary code for chest wall? The reason I am a bit confused is because if a patient is diagnosed with breast cancer and has a mastectomy but still requires radiation or chemo, I would use the primary breast code not the v code but the breast was removed like the kidney above. Any feedback would be great.