This 35-year-old female patient has carcinoma of the upper-outer left breast. She had a lumpectomy performed and a sentinel lymph node biopsy of the axillary lymph node. The pathology report for the lymph node states no pathological change. What codes are assigned in this case?
ICD-9-CM Diagnosis Code(s) with POA Indicator: 233.0-Y
ICD 9-CM Procedure code(s): 85.21 G8878
ICD 10-CM Code(s): C50.412
ICD 10-PCS Code(s): 07B43ZZ
ICD 10-PCS Note: Assign only the procedure codes for the lumpectomy and excision of left axillary lymph node for biopsy.
Can someone please check my work!!
I'm not aware of any of our tutors who have expertise in all this coding information. You'll need to depend on your instructional materials and/or form a study group among your classmates ... and yes, even if it's an online class. There are ways to do that.
233.oY is wrong
233.0 IS CORRECT
I would add ICD-9 Procedure code 40.11 for the biopsy of the lymph node. 85.21 is only the procedure for the lumpectomy. Right?
don't code the 40.11, the correct code is as you posted G8878
Based on the information provided, here are the correct codes that should be assigned for this case:
ICD-9-CM Diagnosis Code(s) with POA Indicator: 233.0-Y
The specific ICD-9-CM diagnosis code for carcinoma of the upper-outer left breast is not mentioned. However, the code 233.0 is used to classify metastatic cancer, which indicates the spread of cancer to lymph nodes, but does not specify the exact location. The Y at the end of the code indicates the diagnosis was present on admission.
ICD 9-CM Procedure code(s): 85.21 G8878
The ICD-9-CM procedure code 85.21 is used to identify the lumpectomy procedure. G8878 indicates that complete information about the sentinel lymph node biopsy of the axillary lymph node was provided.
ICD 10-CM Code(s): C50.412
The ICD-10-CM code C50.412 specifically identifies carcinoma of the upper-outer quadrant of the left breast.
ICD 10-PCS Code(s): 07B43ZZ
The ICD-10-PCS code 07B43ZZ is used to describe the excision (removal) of the left axillary lymph node for biopsy.
Please note that the provided codes are based on the information given and may be subject to further evaluation or consultation with the appropriate coding resources or guidelines. It's always recommended to double-check with the latest coding manuals or consult a professional coder for accurate code assignment.