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Cancer ICD-10 Codes with Modifiers

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ICD-10 codes for various types of cancer, along with possible modifiers that might be used in certain cases. Please note that modifiers can vary based on specific circumstances and payer requirements. Always consult with a medical coder or billing specialist for accurate and up-to-date information.

Cancer TypeICD-10 CodePossible Modifiers
Breast CancerC50.919Modifier -RT (Right side) or -LT (Left side) for laterality
Lung CancerC34.90Modifier -RT or -LT for laterality
Colorectal CancerC18.9N/A
Prostate CancerC61Modifier -61 (for multiple primary tumors)
Ovarian CancerC56.9N/A
Pancreatic CancerC25.9N/A
LeukemiaC91.00N/A
Lymphoma (Hodgkin’s)C81.00N/A
Lymphoma (Non-Hodgkin’s)C82.00N/A
Skin Cancer (Melanoma)C43.9Modifier -51 (multiple procedures)
Kidney CancerC64.9Modifier -62 (two surgeons)
Bladder CancerC67.9Modifier -66 (surgical team)
Liver CancerC22.9Modifier -59 (distinct procedural service)
Brain CancerC71.9N/A

Please remember that this chart provides a general overview and may not cover all possible modifiers or specific situations. Medical coding can be complex, and the appropriate use of modifiers can vary based on clinical documentation, payer guidelines, and individual patient circumstances. Always seek guidance from qualified medical coders or billing specialists to ensure accurate coding and billing practices.

cancer-related ICD-10 codes for various types of cancer. Please note that this list includes codes for different cancer types and is not exhaustive. Always consult with a medical coder or billing specialist for accurate and up-to-date coding information.

  1. Breast Cancer:
    • C50.912 – Malignant neoplasm of right breast, unspecified site
    • C50.911 – Malignant neoplasm of left breast, unspecified site
  2. Lung Cancer:
    • C34.90 – Malignant neoplasm of unspecified part of unspecified bronchus or lung
  3. Colorectal Cancer:
    • C18.9 – Malignant neoplasm of colon, unspecified
  4. Prostate Cancer:
    • C61 – Malignant neoplasm of prostate
  5. Ovarian Cancer:
    • C56.9 – Malignant neoplasm of unspecified ovary
  6. Pancreatic Cancer:
    • C25.9 – Malignant neoplasm of pancreas, unspecified
  7. Leukemia:
    • C91.00 – Acute lymphoblastic leukemia not having achieved remission
  8. Lymphoma (Hodgkin’s):
    • C81.00 – Hodgkin lymphoma, unspecified site
  9. Lymphoma (Non-Hodgkin’s):
    • C82.00 – Follicular lymphoma grade I, unspecified site
  10. Skin Cancer (Melanoma):
    • C43.9 – Malignant melanoma of skin, unspecified
  11. Kidney Cancer:
    • C64.9 – Malignant neoplasm of kidney, except renal pelvis, unspecified
  12. Bladder Cancer:
    • C67.9 – Malignant neoplasm of bladder, unspecified
  13. Liver Cancer:
    • C22.9 – Malignant neoplasm of liver, not specified as primary or secondary
  14. Brain Cancer:
    • C71.9 – Malignant neoplasm of brain, unspecified
  15. Stomach Cancer:
    • C16.9 – Malignant neoplasm of stomach, unspecified
  16. Cervical Cancer:
    • C53.9 – Malignant neoplasm of cervix uteri, unspecified
  17. Thyroid Cancer:
    • C73 – Malignant neoplasm of thyroid gland
  18. Esophageal Cancer:
    • C15.9 – Malignant neoplasm of esophagus, unspecified
  19. Rectal Cancer:
    • C20 – Malignant neoplasm of rectum
  20. Prostate Cancer with Metastasis:
    • C61.9 – Malignant neoplasm of prostate, unspecified, with metastasis

Please remember that these codes represent different types of cancers, and their usage can vary based on specific clinical situations. The ICD-10 code set provides detailed coding options to accurately describe various aspects of a patient’s condition. Always consult with a qualified medical coder or billing specialist for proper coding guidance.

prostate cancer icd 10

The ICD-10 code for prostate cancer is C61. This code is used to represent malignant neoplasm of the prostate gland. It’s important to note that the ICD-10 code C61 is a general code for prostate cancer and does not specify the stage or other details of the cancer.

If you need to provide additional specificity about the prostate cancer, such as the stage, laterality, or other characteristics, modifiers or additional digits may be added to the code. For example:

  • C61.9 – Malignant neoplasm of prostate, unspecified
  • C61.1 – Malignant neoplasm of prostate, central portion
  • C61.2 – Malignant neoplasm of prostate, peripheral portion

These are just a few examples of how the ICD-10 code C61 can be further specified. The choice of code and modifiers will depend on the clinical documentation and details of the patient’s condition. It’s recommended to consult with a medical coder or healthcare professional to ensure accurate and specific coding based on the patient’s case.

al coder or healthcare professional to ensure accurate and specific coding based on the patient’s case.

Lung cancer ICD-10

The ICD-10 code for lung cancer is C34. This code is used to represent malignant neoplasm of the bronchus and lung. Just like with other cancers, additional digits or modifiers can be added to the code to provide more specificity based on the clinical details of the patient’s condition.

For example:

  • C34.90 – Malignant neoplasm of unspecified part of unspecified bronchus or lung
  • C34.11 – Malignant neoplasm of upper lobe, right bronchus or lung
  • C34.92 – Malignant neoplasm of unspecified part of left bronchus or lung

These are a few examples of how the ICD-10 code C34 can be further specified based on the specific location or characteristics of the lung cancer. The choice of code and modifiers will depend on the clinical documentation and details of the patient’s condition. It’s recommended to consult with a medical coder or healthcare professional to ensure accurate and specific coding for each patient’s case.

Breast cancer ICD- 10

The ICD-10 codes for breast cancer vary based on factors such as the laterality (right or left breast), specific location within the breast, and whether the cancer is in situ or invasive. Here are a few examples of ICD-10 codes for breast cancer:

  • C50.911 – Malignant neoplasm of unspecified site of right female breast
  • C50.912 – Malignant neoplasm of unspecified site of left female breast
  • C50.921 – Malignant neoplasm of upper-inner quadrant of right female breast
  • C50.922 – Malignant neoplasm of upper-inner quadrant of left female breast
  • C50.011 – Malignant neoplasm of nipple and areola, right female breast
  • C50.012 – Malignant neoplasm of nipple and areola, left female breast
  • C50.021 – Malignant neoplasm of central portion of right female breast
  • C50.022 – Malignant neoplasm of central portion of left female breast

These are just a few examples of the ICD-10 codes for breast cancer, indicating various locations within the breast and laterality. The specific code used will depend on the clinical documentation and details of the patient’s condition. It’s recommended to consult with a medical coder or healthcare professional to ensure accurate and specific coding for each patient’s case.

Bladder cancer ICD-10

The ICD-10 code for bladder cancer is C67.9. This code is used to represent malignant neoplasm of the bladder, without specifying the laterality or any specific characteristics of the cancer.

If you need to provide additional details about the bladder cancer, such as laterality or specific location within the bladder, modifiers or additional digits can be added to the code. For example:

  • C67.91 – Malignant neoplasm of right side of bladder
  • C67.92 – Malignant neoplasm of left side of bladder
  • C67.11 – Malignant neoplasm of dome of bladder
  • C67.22 – Malignant neoplasm of trigone of bladder

These are just a few examples of how the ICD-10 code C67 can be further specified based on the specific characteristics of the bladder cancer. The choice of code and modifiers will depend on the clinical documentation and details of the patient’s condition. It’s recommended to consult with a medical coder or healthcare professional to ensure accurate and specific coding for each patient’s case.

icd 10 colon cancer screening

ICD-10 codes for colon cancer screening vary depending on the specific screening method, encounter reason, and patient’s history. Here are some examples of ICD-10 codes that might be used for colon cancer screening:

  1. Z12.11 – Encounter for screening for malignant neoplasm of colon
  2. Z12.12 – Encounter for screening for malignant neoplasm of rectum
  3. Z12.13 – Encounter for screening for malignant neoplasm of rectosigmoid junction
  4. Z12.10 – Encounter for screening for unspecified malignant neoplasm of colon
  5. Z80.0 – Family history of malignant neoplasm of digestive organs

Please note that these codes are used for the specific purpose of colon cancer screening and not for diagnosing or treating a condition. The choice of code will depend on factors such as the screening method used, the patient’s history, and the reason for the encounter.

Always consult with a medical coder or healthcare professional to ensure accurate and appropriate coding based on the patient’s clinical situation and the specific screening procedure performed.

icd 10 history of breast cancer

The ICD-10 code for history of breast cancer is Z85.3. This code is used to indicate that a patient has a personal history of malignant neoplasm of the breast. It’s important to note that this code represents the patient’s past history of breast cancer and is not used to indicate current active disease.

When coding a patient’s history of breast cancer, the ICD-10 code Z85.3 can be used in combination with other codes to provide additional information or context. For example:

  • Z85.3 – Personal history of malignant neoplasm of breast
  • Z80.3 – Family history of malignant neoplasm of breast
  • Z12.41 – Encounter for screening for malignant neoplasm of breast
  • Z15.0 – Genetic susceptibility to malignant neoplasm of breast

These codes might be used in various combinations based on the patient’s clinical situation and the purpose of the encounter or visit.

As always, it’s recommended to consult with a medical coder or healthcare professional to ensure accurate and appropriate coding based on the patient’s history and the specific encounter.

The post Cancer ICD-10 Codes with Modifiers appeared first on Healthcare Quality Improvement Campaign.


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