Join the himagine compliance team as we dive into complex Gastrointestinal and Urological procedures in a hospital inpatient setting. We will provide multiple case scenarios focusing on ICD-10-PCS code assignment, applicable PCS coding guidelines and anatomical illustrations for your understanding.…
Sorry for the length, but these 3 scenarios are important to illustrate some very important concepts. When these nodal biopsies get coded incorrectly, it affect several fields and can cause a catastrophic ripple effect on the audit and data quality. …
Question: How would you code Race 1 and Race 2? 01 White 07 Hawaiian 25 Polynesian, Nos 99 Unknown Answer: Race 1 07 Hawaiian Race 2 25 Polynesian, Nos Rationale: Refer to SEER Appendix D Race And Nationality Descriptions to…
Scenario I: 2-28-2019 Colonoscopy: screening colonoscopy found 25mm polyp removed by piecemeal mucosal resection using snare. Pathology: Poorly diff Adenocarcinoma arising in a serrated polyp invading the submucosa. There is no mention of margins on the path report. Scans: No…
Scenario: 12-13-2018 MR Abdomen: Lesion Segment IVb- 1.5cm LI-RADS 5 (Definite HCC) Question: Is this case reportable? Yes No Answer: Yes Rationale: Refer to SEER Appendix E Reportable and Non-Reportable Examples https://seer.cancer.gov/manuals/2018/SPCSM_2018_AppendixE.pdf “Liver cases with an LI-RADS category LR-5 or…
Scenario: 01-24-2020 Stereotactic biopsy Parietal Brain: Glioblastoma, IDH-Wild Type, WHO Grade IV Per SEER Appendix C Seer Program Coding & Staging Manual 2018 Surgery Codes Brain [SEER Note: Assign code 20 for stereotactic biopsy of brain tumor] 20= Local excision…
Scenario: 01-24-2020 path report Malignant Melanoma Breslow thickness at least 2.05mm Question: How would the SSDI Breslow Thickness be recorded? 2.0 2.1 A2.1 Answer: A2.1 Rationale: SSDI Instructions Breslow Tumor Thickness Note 5: If the pathologist describes the thickness as…
Scenario: 65 year old male presents to your facility for resection of a Goiter, US shows: 1.5cm nodule right lobe of the thyroid, physical exam reveals 1.5cm thyroid nodule, no apparent adenopathy in neck. Path report from thyroidectomy: 1.5cm papillary…
Scenario: 9-18-2018 TURBT : noninvasive papillary urothelial carcinoma with adjacent urothelial carcinoma in situ Question: How would you assign the clinical T category? cTa cTis Answer: cTis Rationale: CAnswer Forum Post Tis is a higher T category than Ta,…
**If you have any further questions about this field or need further clarification, please ask them in the CAnswer Forum. ** Scenario: You are abstracting colon cancer case, you enter the treatment information that you have thus far, 07-02-2019 patient…