tgenia
Networker
I felt this was a good place to start for all of you experts out there.
I have a patient who from the pathology report was dx with LCIS, hence no malignancy found.
In the ICD-9 index, it brings you to a cancerous dx M8520/2 (but this is for invasive)
Lobular carcinoma situ is a marker of a patient who is at risk for developing a real cancer sometime in the future. So I consider this to be a neoplasia.
Question: what dx code should we chose?
I choose 238.3 since it is uncertain behavior, I did not choose 217 since the path didn't read it was benign. I am certainly not going to follow the guidelines and give the patient a cancer code since the MD just told her is was not cancerous. I just want to see if anyone else see's it the way I understand it.
Your input is greatly appreciated. Thanks
I have a patient who from the pathology report was dx with LCIS, hence no malignancy found.
In the ICD-9 index, it brings you to a cancerous dx M8520/2 (but this is for invasive)
Lobular carcinoma situ is a marker of a patient who is at risk for developing a real cancer sometime in the future. So I consider this to be a neoplasia.
Question: what dx code should we chose?
I choose 238.3 since it is uncertain behavior, I did not choose 217 since the path didn't read it was benign. I am certainly not going to follow the guidelines and give the patient a cancer code since the MD just told her is was not cancerous. I just want to see if anyone else see's it the way I understand it.
Your input is greatly appreciated. Thanks
