Question

A patient is admitted for a bilateral mastectomy. She has cancer of the central portion of her right breast and wishes to have her left breast removed prophylactically. What is the appropriate coding and sequencing for this encounter?

A. C50.111, Malignant neoplasm of central portion of right female breast
B. C50.111, Malignant neoplasm of central portion of right female breast and Z85.3, Personal history of malignant neoplasm of breast
C. C50.111, Malignant neoplasm of central portion of right female breast and Z40.01, Encounter for prophylactic removal of breast
D. Z40.01, Encounter for prophylactic removal of breast and Z85.3, Personal history of malignant neoplasm of breast

Answer 1

The appropriate coding and sequencing for this encounter would be option C: C50.111, Malignant neoplasm of central portion of right female breast and Z40.01, Encounter for prophylactic removal of breast.

Step-by-step explanation:

The appropriate coding and sequencing for this encounter would be option C: C50.111, Malignant neoplasm of central portion of right female breast and Z40.01, Encounter for prophylactic removal of breast. This coding accurately reflects the patient's diagnosis of cancer in the central portion of her right breast and her wish to have her left breast removed as a proactive measure. The first diagnosis code (C50.111) represents the cancer diagnosis, and the second code (Z40.01) represents the encounter for prophylactic removal of breast.