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Malignant Neuroendocrine Tumor Coding

Karen Posted Fri 26th of April, 2019 12:42:01 PM
The sub category of C7A Malignant Neuroendocrine Tumors are listed as Malignant Carcinoid Tumors of specific sites, i.e. ileum C7A.019, cecum C7A.021, lung C7A.090 etc. However my EHR list descriptions for Neuroendocrine Tumors of these sites directing our providers to select C7A.8 other malignant neuroendocrine tumors. Is it not correct that C7A.8 is used to report any site not specified under Malignant Carcinoid Tumors; since a carcinoid tumor is a type of neuroendocrine tumor?
SuperCoder Answered Mon 29th of April, 2019 10:29:17 AM

 

Hi,

Thanks for your question.

C7A.8 refer to malignant neuroendocrine tumors (NETs) consist of cells that function like both nerve and endocrine cells, which produce excess hormones and hormonelike substances; NETs may affect the digestive system, lungs, pancreas, liver, kidneys, and reproductive system. Risk factors include genetic predisposition, previous radiation, and age. The provider documents a specific type of malignant neuroendocrine tumor not represented by another code.

It is correct when you search for neuroendocrine tumors, then it will be directed towards C7A.8. But, if you refine your search like firstly search for 'tumor' and then search for 'carcinoid' and under that 'malignant' then you will be able to reach to the site of carcinoid tumor.

Hope this helps.

Thanks.

 

Karen Posted Mon 29th of April, 2019 13:26:51 PM
Are you saying C7A.8 is the correct code for "malignant neuroendocrine tumors" of any site?
SuperCoder Answered Tue 30th of April, 2019 09:40:09 AM

Hi,

The descriptor of C7A.8 suggests that the provider documents a specific type of malignant neuroendocrine tumor not represented by another code. Malignant neuroendocrine tumors of site not specified in the code range will be coded as C7A.8.

Hope this helps.

Thanks.

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