ࡱ> <>; bjbjss 4&FF<0^@ݓ< n0,B2<F O: CDH ICD-10 Training Chapter 2 Neoplasms Homework 10/24/13 Code the following diagnoses: Carcinoma right upper lobe, lung: C34.11 Nevus, left thigh, skin: D22.72 Basal cell carcinoma, skin of lip: C44.01 Melanoma in situ, upper lip: D03.0 Metastatic carcinoma of femur: C79.51 and C80.1 Peripheral T-cell lymphoma neck: C84.41 Plasma cell leukemia: C90.10 Carcinoma of lung with metastases to the intrathoracic lymph nodes: C34.90 and C77.1 Intrapelvic Hodgkins granuloma: C81.96 Multiple myeloma: C90.00 Inpatient admission: The female patient had suffered from melanoma for a number of years. She had undergone a primary resection 10 years ago without recurrence, but one year ago, melanoma was discovered in her axilla. She underwent axillary dissection but, a few months later, presented with sacral pain, which bone scan revealed to be left femoral neck and right midfemur sites of metastasis. She had hepatic and adrenal metastases as well. She was admitted for the fifth course of chemotherapy. Discharge diagnosis: Metastatic melanoma left and right femur, liver, and adrenal gland. Z51.11 Encounter for antineoplastic chemotherapy C79.51 Secondary malignant neoplasm of bone C78.7 Secondary malignant neoplasm of liver and intrahepatic bile duct C79.70 Secondary malignant neoplasm of unspecified adrenal gland Comments: The sole reason for this admission was to provide chemotherapy. Codes are assigned for the current metastatic neoplasms; the history code is not assigned because the recurrent secondary neoplasms are the same type of neoplasm as the earlier neoplasms. Outpatient visit: The patient complained of dyspnea on exertion, moderate night sweats, and intermittent fevers. On routine chest X-ray, a mass was visualized in the mediastinum. He was to be scheduled for a CT scan. Diagnosis: Probable neoplastic disease. 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