Chapter 5 Neoplasms

Question 1

Grow, bit it remains confined to an area and does not invade surrounding tissue

Answer 1

benign neoplasm

Question 2

Neoplasm invades surrounding tissue or sheds cell that seeds malignancies in other sites

Answer 2

malignancy

Question 3

region or a specific part of the body

Answer 3

Topography

Question 4

what type of cancer is it

Answer 4

Morphology

Question 5

If the morphology is stated,

Answer 5

the coder must locate the morphology of the tumor in the Index to Diseases and Injuries.

Question 6

If the morphology is stated but the physician does not include anatomic site

Answer 6

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

Question 7

adenocarcinoma”, “carcinoma”, “cancer”, or any “metastasis

Answer 7

go directly to the Neoplasm table

Question 8

Any other morphology

Answer 8

start in the index until you get familiar with the different morphologies

Question 9

primary malignant neoplasm that overlaps two or more contiguous sites should be classified to

Answer 9

end with .8

Question 10

Metastatic carcinoma of the colon to the lung

Answer 10

• The colon is the primary site

- The lung is the secondary site

Question 11

“A new primary”occurs when

Answer 11

the patient develops cancer a second time and is unrelated to the first cancer site

Question 12

A “recurrence”

Answer 12

is when the original cancer recurs in the same organ

Question 13

• lymphomas
• multiple myeloma
• leukemia

Answer 13

• 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

Question 14

escape of fluid from blood vessels or lymphatics into the tissues or a cavity

Answer 14

effusion

Question 15

Anemia due to malignancy of cancer

Answer 15

1. Malignancy

2. Anemia

Question 16

Anemia due to chemotherapy. radiation

Answer 16

1. Anemia

2. Cancer

Question 17

Admitted for schedule round of chemotherapy

Answer 17

Z51.-

Question 18

Physician states a lesion is metastatic

Answer 18

at least 2 codes

1. Primary/history
2. Mets

Question 19

Admitted bc of cancer pain

Answer 19

G89

Question 20

Came for Pain and they discovered colon cancer

Answer 20

1. cancer

2. G89

Question 21

History of codes

Answer 21

has to be complete cured and not receiving treatment

Question 22

Malignancy coded first

Answer 22

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

Question 23

Hospital admission and the treatment is only for management of a complication associated with cancer (dehydration)

Answer 23

1. complication

2. cancer

Question 24

Patient is admitted for therapy and develops complication (severe nausea and vomiting)

Answer 24

1. Therapy encounter

2. complication (N & V)

Question 25

Screening

Answer 25

the testing for disease in well individuals for early detection and treatment
(screening mammo)

Question 26

Diagnostic examination

Answer 26

• 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

Question 27

Prophylactic Organ Removal

Answer 27

1. Z40.-

2. Family history/ genetic

Question 28

C91-C95

0,1,2

Answer 28

0-not having achieved remission
1- in remission
2- in relapse

Question 29

Z85

Answer 29

Personal history of malignant neoplasm