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Penils tissue, biopsy

Annette Posted Thu 25th of June, 2020 09:14:48 AM
What ICD10 would you assign to : Invasive squamous cell carcinoma, poorly diferentiated, warty,basaloid, HPV associated Tumor arises in a background of high grade HPV associated dysplasia (PeIN III/CIS) Thank you
SuperCoder Answered Fri 26th of June, 2020 04:56:10 AM

Hello Annette

Hope you’re doing well!


Thank you for your question


As per ICD-10 CM guidelines, physician or any qualified health care practitioner is accountable for establishing the patient’s diagnosis. Only the definitive diagnosis needs to be coded; but, since there is no definite diagnosis by the provider in the above presented documentation, you are advised to report the diagnosis as D49.59 (Neoplasm of unspecified behavior of other genitourinary organ)


Note: For more appropriate ICD-10 code, kindly provide us with some brief outcome/result of your pathology report.


Hope that helps!


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