V58.11 + V10.3

[CCO-support]

A commentator on Amazon pointed out that one cannot code V58.11 and V10.3 together.

I have looked up both codes and cannot see why they cannot be coded together.
Could you elaborate?
Thanks

 

[Ruth Sheets]

Alicia answered this in the June 2012 Medical Coding Certification Q & A Webinar.


Regarding V58.11 or V10.3, it is true you cannot code these two codes together. When you look up V10.3 and you read the guidelines of the history code, it states that a code for breast cancer cannot be used a history of breast cancer if the person is getting treatment for breast cancer.

Therefore, if you are going to use V10.3 that means its a history, they had breast cancer and they are no longer getting treatment, unlike V58.11 which is a chemotherapy code. and treatment for their cancer. It's a good idea to write, maybe next to your history code, "no longer getting treatment".

Lets say your patient had breast cancer, is no longer getting treatment for that breast cancer they had that ten years ago and then a year ago they found they have lung cancer, that is a secondary cancer to the breast cancer, then you no longer can use the history code.

So, if you are getting treatment for any cancer after or during the time that you have cancer, history code does not apply. So make sure you make a note right next to your V code on that.



View the replay at www.cco.us and click on Q and A Webinar Replay link. This is a replay club so you get access to all the past replays as well as future ones.