ICD-10 Coding for History of Renal Cell Carcinoma(Z85.528)
Complete ICD-10-CM coding and documentation guide for History of Renal Cell Carcinoma. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Renal Cell Carcinoma
Z85.5Primary Range
Personal history of malignant neoplasm of urinary tract
This range includes codes for personal history of malignant neoplasms affecting the urinary tract, including the kidney.
Key Information: ICD-10 code for history of renal cell carcinoma
Essential facts and insights about History of Renal Cell Carcinoma
Primary ICD-10-CM Code for history of renal cell carcinoma
Decision Criteria
clinical Criteria
- Patient has completed treatment and shows no evidence of disease.
documentation Criteria
- Documentation includes treatment history and current surveillance results.
Applicable To
- History of renal cell carcinoma
Excludes
- Active renal cell carcinoma (C64.x)
Clinical Validation Requirements
- No evidence of disease confirmed by imaging
- Documented completion of treatment
- Surveillance imaging results
Code-Specific Risks
- Incorrectly coding active cancer as history
- Omitting documentation of treatment completion
Coding Notes
- Ensure documentation specifies no current evidence of disease.
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 Renal Cell Carcinoma to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z85.528.
Impact
Clinical: Incomplete patient history, Regulatory: Non-compliance with documentation standards, Financial: Potential claim denials
Mitigation Strategy
Review patient records, Ensure complete documentation
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate patient records.
Mitigation Strategy
Verify current disease status through imaging and documentation.
Impact
Coding history instead of active cancer or vice versa.
Mitigation Strategy
Regular audits and staff training.
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 Renal Cell Carcinoma, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Renal Cell Carcinoma
Use these documentation templates to ensure complete and accurate documentation for History of Renal Cell Carcinoma. These templates include all required elements for proper coding and billing.
Annual follow-up for history of renal cell carcinoma
Specialty: OncologyRequired Elements
- Patient history
- Imaging results
- Surveillance plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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