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Started by Jessie LA at 03-16-2010 2:23 PM. Topic has 5 replies.

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   03-16-2010, 2:23 PM
Jessie LA is not online. Last active: 3/25/2010 11:27:38 PM Jessie LA

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Joined on 03-17-2010
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breast cancer coding
when a pt has only has breast cancer on one side of the breast, and comes in for reconstruction for both breast, do we bill with dx code 174.9 only?? first time billing for breast cancer
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   03-19-2010, 1:26 AM
born 2 code is not online. Last active: 10/11/2010 6:08:17 PM born 2 code

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Joined on 12-03-2007
florida
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Re: breast cancer coding

No. If the procedure done on LT side was due to Ca, the dx would be hx of breast cancer and for the procedure done on RT side the dx would be relevant to that. ex cosmetic or hypermastia or hypoplasia breast.

Chris.


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   03-25-2010, 11:28 AM
Jessie LA is not online. Last active: 3/25/2010 11:27:38 PM Jessie LA

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Re: breast cancer coding
Thank you, that's what I thought it was, but i wanted to be sure. Very helpful
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   06-19-2010, 2:29 AM
ahmudg is not online. Last active: 7/4/2010 10:00:49 AM ahmudg

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Re: breast cancer coding
i agree with born
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   08-06-2010, 7:33 AM
amonialogin is not online. Last active: 8/6/2010 6:29:44 PM amonialogin

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Re: breast cancer coding

The breasts (mammary glands) are a pair of glandular organs that produce milk in response to the hormonal changes of childbirth. They're mainly made up of fatty tissue, which starts high on the front of the chest and extends down and around into the armpit. They are supported by ligaments and large muscles.

Each breast has 15 to 20 lobes with a number of lobules and ducts surrounded by fatty and supportive tissue. Each lobule has about 30 major ducts that open onto the nipple. The darker area of skin around the nipple is called the areola. At the edge of the areola there are large glands that produce fluid to lubricate the nipple.

In each armpit there are about 20 to 30 lymph nodes (glands), which drain fluid from the breast. These form part of the lymphatic system that helps the body to fight infection.

It's common and perfectly normal for one breast to be larger than the other. The nipples usually point forward, although they may look different on each breast. It's not unusual for one or both nipples to be turned inwards (inverted). This can be present from birth or can happen when the breasts are developing. The nipples themselves are hairless, but some women have a few hairs around the areola.

A small number of women have an extra breast or pair of breasts. These are usually in the lower armpit and are known as accessory breasts. Some women have an extra nipple or nipples. These are usually below the breast or above the belly button. Accessory breasts and extra nipples aren't usually a problem and don't need to be removed.



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   06-29-2011, 1:20 PM
DevineOne is not online. Last active: 6/29/2011 6:15:27 PM DevineOne

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Brentwood, TN
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Re: breast cancer coding
I'm sure you've resolved this by now. However, I just want to point out ICD-9-CM codes 612.0 and 612.1, which describe deformity or disproportion of reconstructed breast. 612.1 can be used when there's a disproportion of reconstructed breast to native breast, even if the native breast is the one being worked on.
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