Inpatient Radiation and Chemotherapy

Test your skills with a new coding question from Clinical Coding Workout every Monday.

A patient is admitted as an inpatient to receive radiation and chemotherapy for distal esophageal carcinoma. What is the appropriate principal diagnosis?

Source: AHIMA Press. Clinical Coding Workout, 2019. https://my.ahima.org/store/product?id=65592.



7 Comments

  1. This is a good question. I think this inpatient main diagnosis are Z51.0 and Z51.11 of ICD-10-CM codes. Because this admitted main prcedure are radiation and chemotherapy.

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    • Yes that was a good question

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  2. Aftercare

    ICD-10-CM Official Guidelines for Coding and Reporting

    Effective October 1, 2018 – September 30, 2019

    21. Chapter 21: Factors Influencing Health Status and Contact with Health Services (Z00-Z99)

    Note: The chapter specific guidelines provide additional information about the use of Z codes for specified encounters.

    c. Categories of Z Codes

    7) Aftercare

    Aftercare visit codes cover situations when the initial treatment of a disease has been performed and the patient requires continued care during the healing or recovery phase, or for the long-term consequences of the disease. The aftercare Z code should not be used if treatment is directed at a current, acute disease. The diagnosis code is to be used in these cases. Exceptions to this rule are codes Z51.0, Encounter for antineoplastic radiation therapy, and codes from subcategory Z51.1, Encounter for antineoplastic chemotherapy and immunotherapy. These codes are to be first-listed, followed by the diagnosis code when a patient’s encounter is solely to receive radiation therapy, chemotherapy, or immunotherapy for the treatment of a neoplasm. If the reason for the encounter is more than one type of antineoplastic therapy, code Z51.0 and a code from subcategory Z51.1 may be assigned together, in which case one of these codes would be reported as a secondary diagnosis.

    Should a patient receive multiple types of antineoplastic therapy during the same encounter, code Z51.0, Encounter for antineoplastic radiation therapy, and codes from subcategory Z51.1, Encounter for antineoplastic chemotherapy and immunotherapy, may be used together on a record. The sequencing of multiple aftercare codes depends on the circumstances of the encounter.

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  3. this is good practice, have not coded in 1 and a half years, miss it. Sandra

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  4. This was a good question

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  5. Great question. Good to practice coding these diagnosis.

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  6. Do SNF’s use the Z51.0 & Z51.11 codes for a resident receiving outpatient Chemo & radiation treatment?

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