Lung and/or bronchus, primary malignancy: Difference between revisions
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== Additional Info == | == Additional Info == | ||
{ | |||
If the patient has primary lung cancer and it spreads to other parts of the lung from the originating tumour, combine this code with [[Lung, metastatic malignancy to it (also code primary site)]] | |||
'''Includes''' | |||
* Pancoast tumor- a rare type of lung cancer that begins in the apex of the lung | |||
{{ICD10 Guideline Cancer}} | |||
== Alternate ICD10s to consider coding instead or in addition == | == Alternate ICD10s to consider coding instead or in addition == | ||
*[[Lung, metastatic malignancy to it (also code primary site)]] | |||
{ | *[[Lung or bronchi, benign neoplasm]] | ||
{{ListICD10Category | categoryName = Respiratory neoplasm}} | |||
== Candidate [[Combined ICD10 codes]] == | == Candidate [[Combined ICD10 codes]] == | ||
== Related CCI Codes == | == Related CCI Codes == | ||
{{Data Integrity Check List}} | |||
== Related Articles == | == Related Articles == | ||
{{Related Articles}} | {{Related Articles}} | ||
{{ICD10 footer}} | {{ICD10 footer}} | ||
{{EndPlaceHolder}} | {{EndPlaceHolder}} | ||
Latest revision as of 21:35, 4 November 2024
| ICD10 Diagnosis | |
| Dx: | Lung and/or bronchus, primary malignancy |
| ICD10 code: | C34 |
| Pre-ICD10 counterpart: | Lung Cancer |
| Charlson/ALERT Scale: | Any malignancy, including lymphoma and leukemia, except of skin |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Thoracic surgery for neoplasm, 2019-0: Neoplasm |
| Start Date: | |
| Stop Date: | |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
If the patient has primary lung cancer and it spreads to other parts of the lung from the originating tumour, combine this code with Lung, metastatic malignancy to it (also code primary site)
Includes
- Pancoast tumor- a rare type of lung cancer that begins in the apex of the lung
Using ICD10 Malignancy Codes as a Comorbid Diagnosis
- Any cancer/malignancy (either a "solid tumor" or a leukemia/lymphoma/bone marrow malignancy/"liquid tumor", i.e. any ICD10 code from C00-C99) can be a comorbid diagnosis --- BUT it's vital to distinguish malignancies in this category based on whether they are believed to be cured or not.
- If it's still present (or believed to be present), then just include the code for the specific cancer as a comorbid diagnosis.
- If INSTEAD, it's presumed cured, then in the "bin" of comorbid diagnoses combine the code for the specific cancer with this code: Past history, cancer (any type), believed cured
| C00-C99 codes codes: |
Metastases
| Metastasis codes: |
Regarding Presumptive Diagnosis of Malignancy
- Rarely a presumptive diagnosis is made without any tissue confirmation. This generally occurs with:
- risk of obtaining tissue is very high
- plan would be palliative regardless
- patient would refuse care regardless.
- Our issue for how to code a presumed malignancy without definitive histopathologic proof is this:
- If the physicians are going to proceed with a treatment plan without that definitive histopathologic proof --- then code whatever is their best guess about what is present. Example: believed to be lung cancer with a big brain met, and they've decided NOT to do any biopsy but to give palliative radiation therapy, then you'd code lung cancer, and met to brain.
- If the plan is to obtain a definitive histopathologic diagnosis soon or in the future, then instead code: Neoplasm of uncertain behavior (i.e. not clear if benign or malignant), NOS
"work-up for cancer"
If the cancer has not been confirmed then it should not be coded as cancer. Code relevant test abnormal test results or symptoms.
| Testing codes: |
| Symptom/Sign codes: |
| Example: |
Alternate ICD10s to consider coding instead or in addition
| Respiratory neoplasm codes: |
Candidate Combined ICD10 codes
Related CCI Codes
Data Integrity Checks (automatic list)
none found
Related Articles
| Related articles: |
Show all ICD10 Subcategories