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ICD 10 Coding Alert

You Be the Coder:

Utilize Surgery Notes and Pathology Information

Question: Our surgeon took a bladder biopsy using a cystoscope and in the op report, described the specimen as “an adherent stone-like structure with calcification affixed to the right lateral bladder wall, measuring 3.4 mm.” The pathology report gives a diagnosis of “transitional cell carcinoma.” What diagnosis and procedure codes should we use? Maine Subscriber Answer: You should code the [...]