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[Answered]: Give examples of applying the guidelines about the…

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Give examples of applying the guidelines about the posts below or asking questions about any guidelines you need clarity on. Post #1 According to the official guidelines for neoplasm coding (rule G), if the patient presents with active cancer and symptoms related to the cancer, the cancer from the neoplasm table is coded first, and then could be followed by the other conditions. In guideline J, if there is no known primary or secondary site of cancer, then you should code the C80.0 disseminated malignant neoplasm, which is found in the neoplasm table under the word “disseminated,” instead of other body parts. An exception to the G rule is when a patient comes in with dehydration (rule c-3) due to cancer, and is being treated for the dehydration, the dehydration code is first, followed by the cancer code. Post #2 I.C.2.a. Treatment directed at the malignancy: The primary malignancy would be designated the principal diagnosis unless the patient was admitted or there for chemotherapy, immunotherapy or radition therapy. I.C.2.b. Treatment of secondary site: If the patient is admitted due to the primary neoplasm and it mesastasis and the patient is needing treatment for the secondary site, not the primary site, then that would be the principal diagnosis. I.C.2.k. Malignant neoplasm without specifications of site: If there is not a specific site indicated thn the code C80.1 should be used if there is the site is not able to be determined.

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