Kimberly Posted Thu 05th of November, 2015 16:24:00 PM
Is there a specific code for Lynch Syndrome? Here is some pertinent information from the report:
... woman with a known personal and family history of Lynch syndrome due to a mutation in the MLH1 DNA mismatch repair gene. The diagnosis of Lynch syndrome was made in the family when Ann's mother was found to have a sebaceous adenoma of her back at age 67. Her dermatologist recognized that she had a family history of colon cancer and prompted her to get genetic testing for Lynch syndrome. Her mother was found to have a deleterious mutation in the MLH 1 gene. Subsequently patient and her brother had genetic testing and both were found to carry the same deleterious MLH1 mutation. She has not had any evidence of cancer and has had screening with colonoscopy and upper endoscopy several years in a row which showed no polyps or cancers and she was H. pylori negative. She has also had regular screening with CA 125, transvaginal ultrasound, and endometrial aspirates for uterine and ovarian cancer screening. She is currently being screening by a gynecologic surgeon and has had serious discussions about the option of hysterectomy and oophorectomy. Currently she would like to wait until approximately age 45 for this surgery if possible.. She is also had regular breast examinations and mammography. Family history is consistent with Lynch syndrome although it does not meet Amsterdam criteria. Her mother had breast cancer diagnosed at age 70, her maternal grandfather had colon cancer diagnosed at age 67, and her maternal great grandfather (grandfather's father) also had colon cancer diagnosed in his 70s. Neither patient nor her brother have any known cancer. She is married and has 2 daughters age 10 and 7.
SuperCoder Answered Fri 06th of November, 2015 06:30:38 AM
Thanks for your question,
We will use ICD Z15.09 (Genetic susceptibility to other malignant neoplasm) as there is no neoplasm.
Kimberly Posted Fri 06th of November, 2015 16:48:45 PM
SuperCoder Answered Mon 09th of November, 2015 00:28:05 AM