Wiki Thyroid cancer - I have a provider

[mcwriter]

I have a provider who insists on continuing to code active thyroid cancer 7 yrs out from surgery. He feels the levothyroxine is ongoing treatment to prevent recurrence. I can't find an authoritative source to confirm or dispell this. Any advice? He is an Endocrinologist.

 

[tommilee57]

Coding historyof cancer as current

ICD9 Diagnosis guidelines instruct that if the cancer is no longer under treatment then the "history of" V code should be reported. The Levothyroxine is not for cancer treatment but as a thyroid hormone "replacement". If the patient doesn't have active disease then it "should not " be reported as such.