Let's face it--ICD-10 has been a royal pain of an implementation. So, by focusing on a new code with some regularity, I might be able to lend a hand. No time like the present!
We'll start off, not with a code, but with at category. This category may be the most misused category of codes I've ever seen.
I've been coding for more years than I like to admit. Let's say north of 30. While I've seen instances where these codes (and their predecessors in ICD-9) could have been used correctly, I've never actually seen them used correctly. They are: Neoplasms of Uncertain Behavior. In ICD-10 they are found in the section Neoplasms of Uncertain Behavior, Polycythemia Vera and Myelodysplastic Disorders (D37-D48).
When I see a code for neoplasm of uncertain behavior submitted, no matter the body area, it's always because:
- The physician hasn't biopsied the lesion yet, and so he/she is uncertain of the histology; or
- The physician has biopsied the lesion, but hasn't yet received the pathology report