C34 - Requires Location for Malignant Neoplasm Of Main Bronchus

Both ICD-9 2011 and ICD-10 2011 have coding options for a malignant neoplasm of the main brochus. Both indicate that the codes are proper for malignant neoplasms of the carina or hilus of lung.

Difference: ICD-9 2011 includes simply 162.2 (Malignant neoplasm of main bronchus). On the other hand, ICD-10 2011 offers options specific to location:

Unspecified: C34.00 -- Malignant neoplasm of unspecified main bronchus

Right: C34.01 -- Malignant neoplasm of right main bronchus

Left: C34.02 -- Malignant neoplasm of left main bronchus.

ICD-10 2011 also lists an instruction to 'use additional code to identify':

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17.-)

Tobacco use (Z72.0).

Likewise, ICD-10 2011 also lists an instruction to "Use additional code to identify":

Exposure to environmental tobacco smoke (Z77.22)

Exposure to tobacco smoke in the perinatal period (P96.81)

History of tobacco use (Z87.891)

Occupational exposure to environmental tobacco smoke (Z57.31)

Tobacco dependence (F17.-)

Tobacco use (Z72.0).

So when ICD-10 goes into effect on October 1, 2013, you should apply the codes and official guidelines in effect at that time (or more specifically always use the codes and guidelines effective for the relevant date of service ).

Article Source :- http://www.supercoder.com/coding-newsletters/my-icd-10-coding-alert/reader-question-c34-requires-location-for-malignant-neoplasm-of-main-bronchus-108832-article