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Z. CDAB 1 > Ch 5 Neoplasia > Flashcards

Ch 5 Neoplasia Flashcards

1
Q

Which codes are included when the primary site has been treated/excised?

A
  1. metastatic site

2. personal history of ___

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2
Q

History codes are always type __

A

3

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3
Q

When is C80.0 /Malignant neoplasm, primary site unknown/ used?

A

primary site unknown

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4
Q

When is /Malignant neoplasm unspecified/ used

A

no documentation of primary site

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5
Q

Which terms mean that there are multiple secondary sites?

A

disseminated; carcinomatosis

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6
Q

How is equal treatment of primary and secondary site typed?

A

primary site = MRDx

secondary site = Type 1

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7
Q

If secondary site is the only thing being treated, how is it typed?

A

secondary site = MRDx

primary site = variable typing

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8
Q

Do not code lymphomas as ___ neoplasm

A

secondary

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9
Q

Lymphomas are coded as lymphoma even when ___

A

site specific

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10
Q

T or F. Lymph node malignancies and lymphoma are interchangeable

A

false

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11
Q

Acute exacerbations of chronic leukemia is coded as ___

A

chronic leukemia

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12
Q

If patient with leukemia in remission, leukemia is still coded and typed __

A

3

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13
Q

Encounter: codes included when biopsy occurs then a separate admission for surgery

A

MRDx is always the malignancy even if path report shows no additional cancer cells found

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14
Q

Encounter: codes included for bracytherapy

A

MRDx is the malignancy

CCI code

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15
Q

CCI codes for brachytherapy are assigned for which two stages?

A
  1. insertion

2. radioactive afterloading

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16
Q

If insertion and radioactive afterloading are done in one episode, code ___ first

A

brachytherapy

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17
Q

Encounter: codes included for radiotherapy and chemotherapy

A
  1. MRDx: radiation/chemo/drug therapy codes
  2. Type 3: malignancy even if removed or currently treating
  3. CCI codes
18
Q

Encounter: codes included for complications

A
  1. MRDx: complication

2. Type 1/3: neoplasm based on treated or not treated

19
Q

Encounter: codes included for follow up examinations with no residual tumor

A
  1. MRDx follow up code

2. Type 3 history code

20
Q

Encounter: codes included for follow up examinations with a residual or recurring tumor

A
  1. MRDx tumor
  2. Type 3 follow up code
  3. Type 3 history code
21
Q

What are the alternate names for follow up appointments?

A

recheck; surveillance

22
Q

What is the MRDx if patient is admitted for palliative care?

A

the palliative care code (Z51.5)

23
Q

Malignant history is applied to ___ sites only

A

primary

24
Q

History codes are mandatory when a.__ b.__ c.__

A

a. recurrent malignancy
b. identifying treated primary site when there is a secondary neoplasia
c. history of/follow up/ for/prophylactic surger for/ reconstructive surgery of/excision of new primary malignancy in the breast/lung/prostate

25
Q

RSN BLP

rodel sebastian neri - blp sandwich

A

malignant history

  1. recurrent
  2. secondary neoplasia
  3. breast
  4. lung
  5. prostate
26
Q

When a patient has had a previous mastectomy, lobectomy or pneumonectomy and are undergoing another excision for a new primary malignancy, what is mandatory?

A

acquired absence code (Z90.-)

27
Q

What code is assigned when symptoms are present and malignancy is ruled out?

A

Z03.1

28
Q

Codes included for screening with no malignancy found

A

MRDx screening code

29
Q

Codes included for screening with no malignancy found

A

MRDx: neoplasm code

Type 3: screening code

30
Q

Codes included for prophylactic surgery

A

MRDx: Z40.0 for preventing malignancy

Type 3: history code

31
Q

Z40.0 /Prophylactic surgery/ can’t be used if ___ is present

A

cancer

32
Q

Mandatory to assign a code for this type of biopsy

A

sentinel node biopsy

33
Q

DR ONOSO PSH

A

Type 1/2 codes

  • D*rug resistant codes
  • R*65.1
  • O*rgan-
  • N*ot-
  • O*therwise-
  • S*pecified
  • O*rgan failure
  • P*roblem
  • SH*ock
34
Q

BC History ROTS

A

Always Type 3 codes

  • B*95-B97 codes
  • C*arrier codes
  • History* codes
  • O/T* codes
  • SIRS* codes
35
Q

SODD

A

Drug resistant codes

  • S*ite
  • O*rganism
  • D*rug it’s resistant to
  • D*iagnosis cluster
36
Q

RSN_BLP

A

Mandatory history codes

  • R*ecurrence
  • S*econdary
  • N*eoplasia

fUp of

  • B*reast
  • L*ung
  • P*rostate cancer
37
Q

Always MRDx Group 1: Infection

A
  1. site of drug resistant infection

2. non-infectious cause of SIRS

38
Q

Always MRDx Group 2: metastasis

A
  1. secondary site if primary is gone
  2. secondary site if treated by itself
  3. primary site when treated equally with secondary
39
Q

Always MRDx Group 3: encounters

A
  1. malignancy after biopsy
  2. malignancy after brachytherapy
  3. radiation or chemo
40
Q

Always MRDx Group 4 follow up

A
  1. follow up code when no residual tumor
  2. residual tumor code
  3. palliative care
41
Q

Always MRDx group 5: screening

A
  1. screening when no malignancy found

2. neoplasm when malignancy found in screening

Z. CDAB 1 (5 decks)

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