Wiki Post op - wound check post mohs and xenograft repair. Previously diagosed ssc in-situ

[isleflow0r]

A patient previously diagnosed with squamous cell carcinoma in-situ comes in for post op wound check post Mohs and Xenograft repair. Would diagnosis be the SSC in-situ of the location specified with post-op wound check Z48.89 or would it be history of skin cancer and Z48.89?

 

[ellzeycoding]

Z08 - Encounter for follow-up examination after completed treatment for malignant neoplasm

followed by

Z85.828 - Personal history of other malignant neoplasm of skin

 

[isleflow0r]

Thank you! Appreciate the assistance.

 

[Sburton828]

what about Z48.3

Z08 - Encounter for follow-up examination after completed treatment for malignant neoplasm

followed by

Z85.828 - Personal history of other malignant neoplasm of skin

Would it be appropriate to use Z48.3 Aftercare following surgery for neoplasm + Z85.828?

 

[ellzeycoding]

Would it be appropriate to use Z48.3 Aftercare following surgery for neoplasm + Z85.828?

No, not really.

ICD-10 guideline state..

"Aftercare

Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare Z code should not be used if treatment is directed at a current, acute disease."



A wound check really isn't "required continued care".

The ICD-10 Tabular listing also states with Z85.828

"Code First'

any follow-up examination after treatment of malignant neoplasm (Z08)"


There is no instruction to utilize Z48.83.