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General Surgery Coding Alert

Tap Z85.038 For Personal History of Colon Cancer

Don't expect code descriptor changes when new system kicks off in 2013.A personal history of colon cancer can significantly impact a patient's risk for future disease, so accurately capturing the history with diagnosis codes is crucial.With ICD-9, you currently code personal history of colorectal cancer with V10.05 (Personal history of malignant neoplasm of large intestine).ICD-10 difference: When ICD-9-CM shifts to ICD-10-CM in Oct. 1, 2013, code V10.05 will change to Z85.038 (Personal history of other malignant neoplasm of large intestine). Bearing the same descriptor -- except for the word "other" added in ICD-10, you should regard your Z85.038 the same way as you do the ICD-9 code V10.05.Documentation: According to ICD-10-CM, Z85.038 is applicable to conditions classifiable to parent code C18 (Malignant neoplasm of colon), which includes 'child' codes such as:C18.0 -- Malignant neoplasm of cecumC18.1 -- Malignant neoplasm of appendixC18.2 -- Malignant neoplasm of ascending colonC18.3 -- Malignant neoplasm of hepatic flexureC18.4 -- Malignant neoplasm [...]

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