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ICD 9 Medical Coding: Ch 5 - Neoplasms Flashcards

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549326711neoplasmNew or abnormal growth0
549326712behavior, anatomical site, morphology typeNeoplasms are classified according to what three criteria?1
549326713malignantNeoplasm that can invade and destroy adjacent structures and spread to distant sites.2
549326714primaryType of neoplasm that is contained at the site where it originated.3
549326715secondaryNeoplasm that has spread to another site.4
549326716adjacent structures, local lymph vessels, local blood vessels, body cavitiesSecondary neoplasms can spread to (4):5
549326717in situType of neoplasm where tumor cells undergo malignant changes but are still confined to the point of origin without invasion of other tissues.6
549326718benignType of neoplasm where growth does not invade adjacent structures or spread to distant sites but may displace or exert pressure on adjacent structures.7
549326719uncertain behaviorTumors that a pathologist cannot determine as being either benign or malignant.8
549326720unspecified natureTumors in which neither the behavior nor the histological type is specified.9
549338834leukemia, melanoma, adenocarcinomaMorphology types of tumors (3):10
549338835morphology codesThese explain the histology and behavior of a neoplasm.11
549338836histological type, behaviorThe first four digits of a morphology code identify the _____. The fifth digit indicates the ______.12
549338837morphology codeM8140/3 is a:13
5493388380Morphology code for benign.14
5493388391Morphology code for uncertain.15
5493388402Morphology code for carcinoma in situ.16
5493388413Morphology code for malignant, primary site.17
5493388426Morphology code for malignant, metastatic site, secondary site18
5493388439Morphology code for malignant, uncertain if primary or secondary.19
549338844higher numberWhen a diagnosis contains two qualifying adjectives with different morphology codes, you should assign _____.20
549338845M8460/3Patient has a papillary (M8050/3) serous (M8460/3) carcinoma or ovary. Which code would you assign?21
549338846v codesIf a patient admission or encounter is solely for the administration of chemotherapy, immunotherapy, or radiation therapy, use _____.22
549338847reason for therapyWhen using v codes to describe administration of chemotherapy, etc, an additional code should be used to describe ______.23
549338848malignancy of secondary siteHistory of cancer can't be reported as the only secondary code. Need an additional code for _____.24
550277221system, organ, site, lymphatic and hematopoietic, skin, lipomas, bone, uterus, ovaryIndex classifies neoplasms by (3) ____, _____, _____. Exceptions are neoplasms of ____ system, malignant neoplasms of ____, ____, and common tumors of ___, ____, and ____.25
550277222morphologyWhen locating neoplasms in index, start by looking for _____.26
550277223functional activityWhen coding neoplasms, use additional code to code any _____.27
550277224esophagus, hodgkins diseaseTwo categories in the malignant section depart from usual principles of classification:28
550277225carcinoid, pancreatic endocrineNeuroendocrine tumors are classified into _____ and _____ tumors.29
550277226multiple endocrine neoplasia syndrome, endocrine syndromeWhen coding neuroendocrine tumors, code first any associated ______. Also, use additional code to identify associated ____.30
550277227primary siteThe ____ is defined as the origin of the tumor.31
550277228unknown site or unspecifiedIf a physician cannot identify the primary site, code _____.32
550277229195When a more specific site cannot be identified, code category ____.33
550277230malignant neoplasm of skinWhen a neoplasm is identified as squamous cell or epidermoid carcinoma, code as ______.34
550277231incorrect, skin, ankleThe asterisk following the term "ankle" in the neoplasm table indicates it would be ______ to assign code 195.5 Instead, the malignant column for entry _____...____ should be referenced.35
550277232benign neoplasm of skinWhen neoplasm is identified as a papilloma of any type, condition should be classified as _____.36
550277233papilloma, skin, armThe asterisk following the term "arm" indicates that it would be incorrect to assign code 229.8 if the neoplasm is a _____. The benign column for ___...____ should be referenced.37
5502772348, otherNeoplasms with overlapping site boundaries are classified to the subcategory ___ or ____.38
550278062malignancy, v10When surgical removal of primary site malignancy is followed by adjunct chemo or radiotherapy, the ________ code is assigned as long as chemo/radiotherapy is actively administered. Do not use the _____ code.39
550278063The primary malignantIf a primary malignant neoplasm previously removed by surgery or eradicated by chemo/radiotherapy recurs, the _____ code for that site is assigned.40
550278064primary neoplasmWhen cancer is described as "metastatic from" a specific site, it is interpreted as a ______ of that site.41
550278065transplant complication, complication, transplanted organ, malignant neoplasm, transplanted organ, specific malignancyA malignant neoplasm of a transplanted organ should be coded as a _____. Assign first _____ of _____ then ______ associated with ____. Then use additional code for ______.42
550701751secondary siteA metastatic site is otherwise know as a43
550701752metastatic, direct extension, spread, extensionOther terms that describe a secondary site include (4)44
550701753lymphomas, multiple myeloma, leukemiaWhat are malignant conditions of lymphatic and hematopoietic tissue (3)?45
550701754type, lymph nodesLymphomas are classified according to their ____ and specific _____ involved.46
550701755remissionMultiple myeloma is classified as to whether it is stated to be in ______.47
550701756type, stageLeukemias are classified according to ____ and ____.48
550701757condition currently existsFifth digits in leukemia code identify how _____.49
550701758neoplasm related painThis code is assigned to pain documented as being related to neoplasm.50
550701759principal diagnosis, underlying neoplasmNeoplasm related pain may be documented as _____ when reason for admission is pain management. If that is the case, the ______ should be reported as additional diagnosis.51
550701760complication, malignancyWhen a patient suffers from complications from a malignancy (dehydration), code the _____ first and then the _____.52
550701761complication, e code, malignancyWhen a patient suffers from complications from cancer therapy, code the _____ first and then the _____. Finally, code the _____.53
550701762eradicated, treatment, primary malignancyHistory of cancer can be coded when all of the following occur: (1) the primary malignancy has been ____ from its site; (2) no further _____ directed to the site; (3) no evidence of any existing _____.54
550701763secondary site, v10For a person who has a history of cancer but then develops a secondary malignancy, the _____ code is assigned first with a _____ code.55

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