ICD-10 Coding for Personal History of Thyroid Cancer(Z85.850)
Complete ICD-10-CM coding and documentation guide for Personal History of Thyroid 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 Thyroid Cancer
Key Information: ICD-10 code for personal history of thyroid cancer
Essential facts and insights about Personal History of Thyroid Cancer
Primary ICD-10-CM Code for personal history of thyroid cancer
Decision Criteria
clinical Criteria
- No evidence of disease and treatment completed.
coding Criteria
- Use Z85.850 for history, not active treatment.
Applicable To
- History of thyroid cancer
Excludes
- Active thyroid cancer (C73)
Clinical Validation Requirements
- Pathology report confirming original malignancy
- Absence of current treatment orders for cancer
- Two consecutive negative thyroglobulin tests (>6 months apart)
Code-Specific Risks
- Incorrectly using this code when active treatment is ongoing.
Coding Notes
- Ensure documentation clearly states the cancer is in remission and no active treatment is ongoing.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for follow-up examination after completed treatment for malignant neoplasm
Z08Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Personal History of Thyroid Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.850.
Impact
Clinical: Inaccurate patient history., Regulatory: Non-compliance with coding standards., Financial: Potential for denied claims.
Mitigation Strategy
Use specific terms like 'no evidence of disease'., Include treatment and surveillance details.
Impact
Reimbursement: Incorrect DRG assignment, affecting reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Switch to Z85.850 + Z08 once treatment ends and NED confirmed.
Impact
Using active cancer codes for history cases.
Mitigation Strategy
Regular training on code differentiation.
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 Thyroid Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Personal History of Thyroid Cancer
Use these documentation templates to ensure complete and accurate documentation for Personal History of Thyroid Cancer. These templates include all required elements for proper coding and billing.
Annual follow-up for history of thyroid cancer
Specialty: EndocrinologyRequired Elements
- History of thyroid cancer
- Treatment completion date
- Surveillance results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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