Sherry Posted Tue 05th of March, 2019 12:35:20 PM
if a pathology comes back as fundus and cardia mass showing gastric Mucosa with no evidence of helicobacter organism. There are areas of ulceration and necrosis and the presence of a poorly differentiated tumor suggestive of a poorly differentiated adenocarcinoma with sindle cell features ( comment second reports to determine the organ of the adenocarcinoma with follow) 2nd reports states the panel shows a profile consistent with a well differentiated adenocarcinoma with gastric phenotype moderate proliferative activity and focal ulceration
SuperCoder Answered Wed 06th of March, 2019 07:52:52 AM
When there is no definitive diagnosis, or the uncertain terms in pathology statement/report is mentioned like “suggestive or consistent” then further information is required before coding carcinoma. However, you may code as per indication or the signs and symptoms of the patient. Feel free to ask for any further query. Thank you.