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ICD 10 Coding Alert

Urology: Prostate Cancer Coding Mirrors ICD-9 Neoplasm Table Structure

- Published on Wed, Feb 15, 2012

Hint: You'll apply the same PIN rules even when the codes change.

If you don't have any trouble using the ICD-9 neoplasm table, you shouldn't have a hard time transitioning to ICD-10 neoplasm codes starting Oct. 1, 2013.

For example, here's how the two code set options for malignant prostate cancer coding compare:

ICD-9: Under ICD-9, your prostate neoplasm options include:

  • Primary: 185, Malignant neoplasm of prostate
  • Secondary: 198.82, Secondary malignant neoplasm of genital organs
  • Ca in Situ: 233.4, Carcinoma in situ of prostate.

If you report prostatic intraepithelial neoplasia (PIN), you should use 233.4 for PIN III. But you should use 602.3 (Dysplasia of prostate) for PIN I or PIN II.

ICD-10: Your ICD-10 options offer up familiar terms:

  • Primary: C61, Malignant neoplasm of prostate
  • Secondary: C79.82, Secondary malignant neoplasm of genital organs
  • [...]

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