Chapter 5 Neoplasms Flashcards
Grow, bit it remains confined to an area and does not invade surrounding tissue
benign neoplasm
Neoplasm invades surrounding tissue or sheds cell that seeds malignancies in other sites
malignancy
region or a specific part of the body
Topography
what type of cancer is it
Morphology
If the morphology is stated,
the coder must locate the morphology of the tumor in the Index to Diseases and Injuries.
If the morphology is stated but the physician does not include anatomic site
the coder should locate the morphology of the tumor in the Index to Diseases and Injuries
serous papillary carcinoma - code will say its ovary, can trust bc this cancer only happens in ovaries
adenocarcinoma”, “carcinoma”, “cancer”, or any “metastasis
go directly to the Neoplasm table
Any other morphology
start in the index until you get familiar with the different morphologies
primary malignant neoplasm that overlaps two or more contiguous sites should be classified to
end with .8
Metastatic carcinoma of the colon to the lung
- The colon is the primary site
- The lung is the secondary site
“A new primary”occurs when
the patient develops cancer a second time and is unrelated to the first cancer site
A “recurrence”
is when the original cancer recurs in the same organ
- lymphomas
- multiple myeloma
- leukemia
- arise out of lymph tissue
- that originates in bone marrow
- that forms in the blood with proliferation of abnormal leukocytes
are systemic & not isolated to a particular location
escape of fluid from blood vessels or lymphatics into the tissues or a cavity
effusion
Anemia due to malignancy of cancer
- Malignancy
2. Anemia
Anemia due to chemotherapy. radiation
- Anemia
2. Cancer
Admitted for schedule round of chemotherapy
Z51.-
Physician states a lesion is metastatic
at least 2 codes
- Primary/history
- Mets
Admitted bc of cancer pain
G89
Came for Pain and they discovered colon cancer
- cancer
2. G89
History of codes
has to be complete cured and not receiving treatment
Malignancy coded first
diagnosis or treatment (unless encounter is only for the administration of chemo)
- Treatment of signs or symptoms
- For staging to determine the extent of malignancy
Hospital admission and the treatment is only for management of a complication associated with cancer (dehydration)
- complication
2. cancer
Patient is admitted for therapy and develops complication (severe nausea and vomiting)
- Therapy encounter
2. complication (N & V)
Screening
the testing for disease in well individuals for early detection and treatment
(screening mammo)
Diagnostic examination
- not screening
- testing ot r/o or confirm suspected diagnosis bc patient has s/s. S/S is used to explain the reason for test
Prophylactic Organ Removal
- Z40.-
2. Family history/ genetic
C91-C95
0,1,2
0-not having achieved remission
1- in remission
2- in relapse
Z85
Personal history of malignant neoplasm
