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How to Code Lung Cancer & Drain Care in ICD-10 (Coding Tip by PPS Plus) – Jan 2017

Conquer your coding & OASIS challenges with the best home health tips on YouTube: http://ppsplus.com. Join PPS Plus’s Assistant Director of Coding & OASIS Review, Victoria Jones, as she reviews how to code lung cancer and drain care in ICD-10.

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Video Notes:
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Copy & paste this tip into a Word document for future reference:

Scenario:
The patient is being admitted to home health following surgery for left lower lobe lung cancer and will need dressing changes, care for his surgical drain, and teaching on newly prescribed oxygen use. His physician plans to begin chemo immediately.

Codes:
M1021a – Z48.3 Aftercare following surgery for neoplasm
M1023b – C34.32 Malignant neoplasm of lower lobe, left lung
M1023c – Z48.03 Encounter for change or removal of surgical drain
M1023d – Z48.01 Encounter for change or removal of surgical dressing
M1023e – Z99.81 Dependence on supplemental oxygen

Rationale:
Because the primary focus of care by the home health agency is the patient’s recent surgery, this is coded first. The cancer is considered still present as treatment via chemo is continuing, so the specific neoplasm code is used next. If physician documentation would have indicated that the surgery eradicated the cancer and no longer required treatment, a history code would have been used instead. Lastly the codes for drain care, dressing care, and oxygen use follow.

0:13 – Scenario 1
0:30 – See it Coded
1:08 – Rationale

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PPS Plus is headquartered in Biloxi, Mississippi.

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PPS Plus provides the perfect solution for maximizing your reimbursement potential, growing your business and providing your patients with better care. We provide OASIS analysis software, benchmarking software, coding & OASIS review services, as well as online and on-site education and consulting services.

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Do you have a tough coding scenario? Tell us about it in the comment box below, and you might just see your scenario in one of our upcoming YouTube videos!

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