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Reply with quote  #1 
Good Morning,

I work in an Oncology office and there's been quite the debate on diagnosis codes between the coders and our doctors. For example, patient comes in for suspected lung cancer, pt has a lung mass, but has not had a biopsy done to show that it's actually lung cancer. The doctors state, "they know" that is lung cancer and are coding it as such. The coders perspective is if it is not proven by biopsy then only R91.8 can be billed until we have a tissue dx. Please advise!. Thank you in advance for any help.
WENDYR1

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Posts: 17
Reply with quote  #2 
Confirmation must be done by biopsy to diagnose lung cancer - suspected, probably, likely does not count.  Coding is correct on this one.
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