msumner0314
New
Hello,
I work in an orthopedic office and sometimes we see patients for orthopedic injuries that are also currently undergoing treatment for a cancer. 9/10 times the documentation does not specify if the cancer is a primary or secondary site. I'm curious how I go about coding the cancer if I don't have this information. Can I even code the cancer without that info? My fellow employee and myself have combed through the ICD-10 guidelines on this and are having trouble finding anything that gives us a definite answer. Hoping someone can help. I have copied a provider note as an example.![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
.
Thank you
Meghan Sumner CPC
I work in an orthopedic office and sometimes we see patients for orthopedic injuries that are also currently undergoing treatment for a cancer. 9/10 times the documentation does not specify if the cancer is a primary or secondary site. I'm curious how I go about coding the cancer if I don't have this information. Can I even code the cancer without that info? My fellow employee and myself have combed through the ICD-10 guidelines on this and are having trouble finding anything that gives us a definite answer. Hoping someone can help. I have copied a provider note as an example.
![4305 4305](https://www.aapc.com/discuss/data/attachments/3/3417-fa254b886c65f9d363890cbfed211f4c.jpg)
Thank you
Meghan Sumner CPC