ICD-10 Coding for History of Malignant Melanoma(Z85.820)
Complete ICD-10-CM coding and documentation guide for History of Malignant Melanoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Malignant Melanoma
Key Information: ICD-10 code for history of malignant melanoma
Essential facts and insights about History of Malignant Melanoma
Primary ICD-10-CM Code for history of malignant melanoma
Decision Criteria
clinical Criteria
- Patient has completed all melanoma treatments and is under surveillance.
documentation Criteria
- Documentation must state 'no evidence of recurrence'.
Applicable To
- History of excised malignant melanoma
Clinical Validation Requirements
- No active treatment ongoing
- No evidence of recurrence
- Completed treatment documented
Code-Specific Risks
- Incorrectly coding as active melanoma when treatment is complete
Coding Notes
- Ensure documentation clearly states the melanoma is historical with no current treatment.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Malignant Melanoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.820.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with documentation standards., Financial: Potential denial of claims for surveillance visits.
Mitigation Strategy
Always document treatment completion in the patient's record.
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records affecting clinical decisions.
Mitigation Strategy
Use Z85.820 when the melanoma is no longer active.
Impact
Using active melanoma codes for historical cases.
Mitigation Strategy
Regular training on ICD-10 coding updates and documentation requirements.
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 History of Malignant Melanoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Malignant Melanoma
Use these documentation templates to ensure complete and accurate documentation for History of Malignant Melanoma. These templates include all required elements for proper coding and billing.
Post-treatment surveillance visit
Specialty: DermatologyRequired Elements
- Patient history
- Treatment completion date
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for History of Malignant Melanoma? Ask your questions below.