ICD-10 Coding for History of Lung Cancer(Z85.118)
Complete ICD-10-CM coding and documentation guide for History of Lung Cancer. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Lung Cancer
Z85.11-Z85.118Primary Range
Personal history of malignant neoplasm of respiratory and intrathoracic organs
This range includes codes for personal history of malignant neoplasms specific to the lung and bronchus, indicating completed treatment and no current evidence of disease.
Key Information: ICD-10 code for history of lung cancer
Essential facts and insights about History of Lung Cancer
Primary ICD-10-CM Code for history of lung cancer
Decision Criteria
clinical Criteria
- Patient has completed all cancer-directed therapy and shows no evidence of disease.
documentation Criteria
- Oncologist's note confirming remission status.
Applicable To
- History of lung cancer
- History of bronchial cancer
Excludes
- Current malignant neoplasm of lung (C34.-)
Clinical Validation Requirements
- No evidence of disease on recent imaging
- Completed treatment with no active therapy
- Oncologist note confirming remission
Code-Specific Risks
- Incorrectly using this code while the patient is still receiving active treatment.
Coding Notes
- Ensure documentation clearly states 'no evidence of disease' and specifies the date of last treatment.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Lung Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.118.
Impact
Clinical: May lead to inappropriate follow-up care., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims due to incomplete documentation.
Mitigation Strategy
Always include the date of last treatment in follow-up notes., Use templates to ensure all required elements are documented.
Impact
Reimbursement: Incorrect coding may lead to reduced reimbursement rates., Compliance: May result in non-compliance with coding guidelines., Data Quality: Affects the accuracy of patient health records.
Mitigation Strategy
Continue using the active cancer code (C34.-) until all therapeutic interventions cease.
Impact
Using history codes when active treatment is ongoing.
Mitigation Strategy
Regular training on coding guidelines and review of patient treatment plans.
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 History of Lung Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Lung Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Lung Cancer. These templates include all required elements for proper coding and billing.
Post-treatment follow-up for lung cancer
Specialty: OncologyRequired Elements
- Patient history
- Date of last treatment
- Current status (NED)
- Recent imaging results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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