Question

A patient is admitted for a double mastectomy. She has a family history of breast cancer and has been tested for genetic susceptibility to malignant neoplasm of breast. The test came back positive for the susceptibility, and the patient elected to have a mastectomy as a preventive measure for breast cancer.

How is this case coded and sequenced?

A. Z40.01, C50.911, C50.912, Z80.3, Z15.01
B. Z15.01, Z40.01, Z80.3
C. Z80.3, Z15.01
D. Z40.01, Z15.01, Z80.3

Answer 1

The case should be coded and sequenced as Z15.01, Z40.01, Z80.3.

Step-by-step explanation:

The case should be coded and sequenced as follows: Z15.01, Z40.01, Z80.3.

Z15.01 - Genetic susceptibility to malignant neoplasm of the breast. This code is used to indicate the patient's family history and the positive genetic test results.

Z40.01 - Encounter for prophylactic removal of breast. This code is used to indicate the patient's preventive mastectomy.

Z80.3 - Family history of malignant neoplasm of breast. This code is used to indicate the patient's family history of breast cancer.