0913@70
Networker
HI, i would appropriate if somebody can help me with this.
The pathology states Spindle cell neoplasm
The pathology states Spindle cell neoplasm
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Spindle cell neoplasm
- Thread starter 0913@70
- Start date
0913@70
Networker
sorry i wasn't done
The pathology report states, Mass of antrum of stomach: Spindle cell neoplasm, CD117 positive, S100 negative, SMA weekly and focally positive, KI-67 Less than 2%
final dx KIT CD117 positive, margins negative
Can you tell me if this is dx of cancer or tumor?
Thank you
The pathology report states, Mass of antrum of stomach: Spindle cell neoplasm, CD117 positive, S100 negative, SMA weekly and focally positive, KI-67 Less than 2%
final dx KIT CD117 positive, margins negative
Can you tell me if this is dx of cancer or tumor?
Thank you
mitchellde
True Blue
You need a code for malignant neoplasm of stomach, Antrum, primary site.
0913@70
Networker
Thank you so much for your response
The surgeon billed 43611, dx code 239.0
The CPT code is correct , but the dx code should be malignant, am i correct?
Thank you
The surgeon billed 43611, dx code 239.0
The CPT code is correct , but the dx code should be malignant, am i correct?
Thank you
mitchellde
True Blue
Yes it is not unspecified as you have a path report. Unspecified would be used if the provider performed a preliminary diagnostic study and rendered a diagnosis of tumor or abnormal growth.
0913@70
Networker
Thank you so much for your help!
I asked one of my pathologists about this one. He said that based on the limited information given, one could not classify this as malignant. He thought a better interpretation would be as unspecified.
Here is a link for gastrointestinal stromal tumors (GIST): http://www.pathologyoutlines.com/topic/stomachGIST.html
Before coding this as malignant, I would check with the pathologist who interpreted it. There may be additional information from the case that would clarify the diagnosis.
I am reluctant to use a code for malignancy unless it is very clear.
Here is a link for gastrointestinal stromal tumors (GIST): http://www.pathologyoutlines.com/topic/stomachGIST.html
Before coding this as malignant, I would check with the pathologist who interpreted it. There may be additional information from the case that would clarify the diagnosis.
I am reluctant to use a code for malignancy unless it is very clear.
mitchellde
True Blue
From Dr. Lewis :
Most SpCC are overtly malignant, and the differential diagnosis then includes a number of different malignant spindle cell neoplasms.
Which is why I chose malignant neoplasm.
Most SpCC are overtly malignant, and the differential diagnosis then includes a number of different malignant spindle cell neoplasms.
Which is why I chose malignant neoplasm.