Question

This is an Inpatient Hospital Visit of a 61 year old man Reason for procedure : Brainstem fumor Procedure description : Used Gamma Knife surgery to destroy tumor Postprocedural diagnosis : Squamous cell carcinoma of the lung with brainstem metastases Plan : FU in office 1 week , evaluate for chemotherapy Tip : The site that is the reason for surgery should be sequenced first 2 ICD -10 -CM Codes - list the Principal diagnosis first : 1. Principal Diagnosis Code 2. Secondary Diagnosis Code

Question 2 2 pts Read the mini-medical-record, assign ICD- 10-CM diagnosis codes using the Index and Tabular List, and sequence the codes correctly. This is an Inpatient Hospital Visit of a 61 year old man Reason for procedure: Brainstem tumor Procedure description: Used Gamma Knife surgery to destroy tumor Postprocedural diagnosis: Squamous cell carcinoma of the lung with brainstem metastases Plan: FU in office 1 week, evaluate for chemotherapy Tip: The site that is the reason for surgery should be sequenced first. 2 ICD-10-CM Codes - list the Principal diagnosis first: 1. Principal Diagnosis Code 2. Secondary Diagnosis Code

Answer 1

ANSWER.

* ICD-10-CM coding

        1) Principle diagnosis code

                  C79.31 - Secondary malignant neoplasm of brain.

         2) Secondary diagnosis code.

                  C34.90 - Malignant neoplasm of unspecified part of

                                 unspecified bronchus or lung (Lung cancer NOS).

    (Site reason for surgery Brain is considered as principle diagnosis and

   primary cancer site lung is considered as secondary diagnosis).