Neoplasms Created by Alejandra Munoz CPC NCICS Neoplasms

Neoplasms Created by Alejandra Munoz, CPC, NCICS

Neoplasms- Code Range C 00 -D 49 Neoplasms are reported from Chapter 2 of ICD-10 -CM. Neoplasms, also known as tumors, are defined as an uncontrolled abnormal growth of cells and are characterized as malignant or benign.

Terminology Morphology- The form and structure of the neoplastic growth Metastasize- The spreading of cells Encapsulated- Surrounded by a capsule Biopsy- Removal of tissue for pathological examination to differentiate between malignant and benign.

Malignant Neoplasms Also known as cancerous growths, are life threatening. Characteristics include: o Relatively rapid growth o Possible metastasis o Interference with normal cell growth o Cells are disorderly

Common Malignant Neoplasms Liposarcoma Osteogenic sarcoma Leukemia Carcinoma of breast Esophageal adenocarcinoma Ficrosarcoma Adenocarcinoma of the uterus

Benign Neoplasms Also known as nonmalignant tumors, are usually not life threatening. Characteristics include: o Relatively slow growth o Encapsulation of cells o Cells appear similar to tissue of origin o Cells do not metastasize

Common Benign Neoplasms Lipoma Osteoma Chondroma Fibroma Maningioma Neuroma Fibroid

ICD-10 -CM Behavioral Groupings Found in Neoplasm Table Malignant neoplasms o Primary o Secondary o CA in situ Benign neoplasms Neoplasms of uncertain behavior Neoplasms of unspecified behavior

Neoplasm Table The Neoplasm Table is organized alphabetically by anatomical structure. The Table is divided into six columns by the type of behavior of the neoplasm.

Official Coding Guidelines for Coding and Reporting Specific Chapter Coding Guidelines for Neoplasms include the following: Treatment directed at the malignancy Treatment of secondary site Coding and sequencing of complications Primary malignancy previously excised Admissions/encounters involving chemotherapy, immunotherapy, and radiation therapy

Official Coding Guidelines for Coding and Reporting Admission/encounter to determine extent of malignancy Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms Admission/encounter for pain control Malignancy in two or more contiguous sites Disseminated malignant neoplasm, unspecified Malignant neoplasm without specification of site

Official Coding Guidelines for Coding and Reporting Sequencing of neoplasm codes Current malignancy versus personal history of malignancy Leukemia in remission versus personal history of leukemia Aftercare following surgery for neoplasm

Official Coding Guidelines for Coding and Reporting Follow-up care for completed treatment of a malignancy Prophylactic organ removal for prevention of malignancy Malignant neoplasm associated with transplanted organ

Reference Bowie, M. (2014). Understanding ICD-10 -CM & ICD-10 PCS. Cengage.