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Family History of Breast Cancer

Leigh Posted Thu 09th of March, 2017 15:46:08 PM
What are the CMS or coding guidelines for when it is appropriate to code Z80.3 for a patient with a family history of breast cancer. What qualifies a patient to be considered family history? Does it have to be a 1st degree relative ie. mother, daughter, sister? Or can it be Grandmother or aunt? Are these guidelines documented anywhere?
SuperCoder Answered Fri 10th of March, 2017 02:40:52 AM

Greetings from SuperCoder.com!

 

A family medical history is a record of health information about a person and his or her close relatives. A complete record includes information from three generations of relatives, including children, brothers and sisters, parents, aunts and uncles, nieces and nephews, grandparents, and cousins.

 

For more information, please click the following link: https://ghr.nlm.nih.gov/primer/inheritance/familyhistory

 

Please feel free to write if you have any concern or questions.

 

Thanks.

Leigh Posted Fri 10th of March, 2017 15:12:26 PM
Just so I'm clear, we can code Z80.3 on a Medicare claim if the patient has a Grandmother that had breast cancer?
SuperCoder Answered Tue 14th of March, 2017 04:34:14 AM

Hi,

 

Yes, you can report Z80.3 (Family history of malignant neoplasm of breast) if the patient has a Grandmother that had breast cancer.

 

Thanks.

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