The Confusing Neoplasm Table – If You Are Using Codes from the Uncertain or Unspecified Column, You Are Probably Not Coding Correctly

Description

The Neoplasm table is made up of six columns that can be confusing.  Although selecting from the primary and secondary columns may be easy to discern, the first question to be asked is should you be utilizing the neoplasm table at all?  If you have a lump or mass that your provider is removing- what do you really know about it?  Actually – NOTHING when it comes to cell type which is what the neoplasm table is all about.  
If your provider is uncertain or their diagnosis is unspecified, the neoplasm table may not be the place you should be turning to.
Learn when and how this complex coding table should be used to avoid assigning an incorrect diagnosis and one with potential damaging consequences to the patient.  Once these six columns are no longer confusing to you, assigning codes for tissue will be more accurate and more efficient!!

KEY LEARNING OBJECTIVES:

• What is the correct usage of the Neoplasm Table
• What is the proper use of each column of the Table
• When do you NOT use the Neoplasm Table

TARGET AUDIENCE:

• Coders
• Billers
• Auditors
• Office Managers    

MAIN POINTS TO BE COVERED:

• When should coders turn to the Neoplasm table in assigning codes
• What is the difference between primary and secondary neoplasms
• What language is needed to code a “ca in situ’
• How do you select a code when the provider is uncertain of the diagnosis of the mass they have just biopsied
• Should you hold claims until you have a final pathology report