ICD-10 Coding for Family History of Uterine Cancer(Z80.4)
Complete ICD-10-CM coding and documentation guide for Family History of Uterine Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Family History of Uterine Cancer
Z80-Z84Primary Range
Family history of primary malignant neoplasm
This range includes codes for family history of various cancers, including genital organ malignancies.
Key Information: ICD-10 code for family history of uterine cancer
Essential facts and insights about Family History of Uterine Cancer
Primary ICD-10-CM Code for family history of uterine cancer
Decision Criteria
documentation Criteria
- Presence of a detailed family history including cancer type and age of onset.
Applicable To
- Family history of uterine cancer
Excludes
- Personal history of malignant neoplasm of genital organs (Z85.4)
Clinical Validation Requirements
- Documented family history of uterine cancer
- Three-generation pedigree with cancer types and ages at diagnosis
Code-Specific Risks
- Incorrectly using Z80.49 for uterine cancer
- Failing to specify the degree of relation
Coding Notes
- Ensure documentation specifies the family member and type of cancer.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Genetic susceptibility to malignant neoplasm of breast
Z15.01Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Family history of malignant neoplasm of other genital organs
Z80.49Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Family History of Uterine Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z80.4.
Impact
Clinical: Inadequate risk assessment for hereditary cancer syndromes., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to insufficient documentation.
Mitigation Strategy
Use structured templates for family history documentation., Verify details with pathology reports.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate family history data in patient records.
Mitigation Strategy
Use Z80.4 for uterine cancer as it falls under genital organs.
Impact
Inadequate documentation of family history can lead to audit findings.
Mitigation Strategy
Use comprehensive templates and verify with pathology reports.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Family History of Uterine Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Family History of Uterine Cancer
Use these documentation templates to ensure complete and accurate documentation for Family History of Uterine Cancer. These templates include all required elements for proper coding and billing.
Family history documentation in gynecologic oncology
Specialty: Gynecologic OncologyRequired Elements
- Three-generation family history
- Cancer types and ages at diagnosis
- Pathology report references
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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