ICD-10 Coding for History of Ovarian Cancer(Z85.43, Z08)
Complete ICD-10-CM coding and documentation guide for History of Ovarian 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 Ovarian Cancer
Z85.43Primary Range
Personal history of malignant neoplasm of ovary
This code is used to indicate a patient's past history of ovarian cancer when there is no current evidence of disease.
Encounter for follow-up examination after completed treatment for malignant neoplasm
This code is used for follow-up visits after cancer treatment to ensure there is no recurrence.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z85.43 | Personal history of malignant neoplasm of ovary | Use when the patient has a history of ovarian cancer with no current evidence of disease. |
|
| Z08 | Encounter for follow-up examination after completed treatment for malignant neoplasm | Use during follow-up visits after cancer treatment. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of ovarian cancer
Essential facts and insights about History of Ovarian Cancer
Primary ICD-10-CM Codes for history of ovarian cancer
Decision Criteria
clinical Criteria
- Patient has completed treatment and is in remission with no evidence of disease.
documentation Criteria
- Records must show treatment completion and current status as 'no evidence of disease'.
Applicable To
- History of ovarian cancer
Excludes
- Current ovarian cancer (C56.9)
Clinical Validation Requirements
- Pathology report confirming original diagnosis
- Treatment end date >5 years prior
- Current imaging: CT/PET showing no lesions
- CA-125 <35 U/mL
Code-Specific Risks
- Incorrectly using this code for active cancer cases
- Lack of documentation for 'no evidence of disease'
Coding Notes
- Ensure documentation clearly states 'no evidence of disease' and includes follow-up plans.
Z08 - Encounter for follow-up examination after completed treatment for malignant neoplasm
Use during follow-up visits after cancer treatment.
Applicable To
- Follow-up after cancer treatment
Clinical Validation Requirements
- Documented surveillance plan
- Imaging and lab results confirming no recurrence
Coding Notes
Ensure follow-up plans are documented.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Follow-up examination after treatment for malignant neoplasm
Z08Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Ovarian Cancer to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.43.
Impact
Clinical: Misinterpretation of patient's current health status., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials.
Mitigation Strategy
Specify treatment details and current status, Use precise medical terminology
Impact
Reimbursement: Incorrect coding can lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify current disease status and use active cancer codes if applicable.
Impact
Using history codes for active cancer cases.
Mitigation Strategy
Regular training on coding guidelines and verification of current disease status.
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 Ovarian Cancer, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Ovarian Cancer
Use these documentation templates to ensure complete and accurate documentation for History of Ovarian Cancer. These templates include all required elements for proper coding and billing.
Annual follow-up visit
Specialty: OncologyRequired Elements
- Patient history
- Current status
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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