ICD-10 Coding for Personal History of Lung Cancer(Z85.118)
Complete ICD-10-CM coding and documentation guide for Personal History of Lung Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Personal History of Lung Cancer
Z85.11-Z85.118Primary Range
Personal history of malignant neoplasm of respiratory and intrathoracic organs
This range includes codes for personal history of lung cancer, indicating the cancer is no longer active.
Malignant neoplasm of bronchus and lung
This range is used for active lung cancer cases, not for history.
Key Information: ICD-10 code for personal history of lung cancer
Essential facts and insights about Personal History of Lung Cancer
Primary ICD-10-CM Code for personal history of lung cancer
Decision Criteria
clinical Criteria
- Patient has completed all cancer-directed therapy and shows no evidence of disease.
documentation Criteria
- Medical records must state 'no evidence of disease' and 'completed treatment'.
Applicable To
- History of lung cancer
- Resolved lung cancer
Excludes
- Active lung cancer (C34.-)
Clinical Validation Requirements
- No current treatment
- Primary site excised or eradicated
- No evidence of disease
Code-Specific Risks
- Confusing with active cancer codes
- Incorrectly coding during prophylactic treatment
Coding Notes
- Ensure documentation clearly states 'history of' and no active 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 Personal History of Lung Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.118.
Impact
Clinical: Misrepresentation of patient's cancer status., Regulatory: Potential audit findings for incorrect coding., Financial: Incorrect reimbursement due to misclassification.
Mitigation Strategy
Verify treatment completion before coding, Regular training on coding guidelines
Impact
Reimbursement: Incorrect DRG assignment leading to potential revenue loss., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate patient records affecting clinical decisions.
Mitigation Strategy
Use C34.- for active treatment and switch to Z85.118 only after treatment completion.
Impact
Using Z85.118 when active treatment is ongoing.
Mitigation Strategy
Regular audits and coder education on treatment status verification.
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 Personal History of Lung Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Personal History of Lung Cancer
Use these documentation templates to ensure complete and accurate documentation for Personal History of Lung Cancer. These templates include all required elements for proper coding and billing.
Follow-up visit for a patient with a history of lung cancer
Specialty: OncologyRequired Elements
- Patient history
- Treatment completion date
- Current surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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