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Urology Coding Alert

ICD-10:

Prostate Cancer Coding Mirrors ICD-9 Neoplasm Table Structure

Hint: You'll apply the same PIN rules even when the codes change.

If you don't have any trouble using the ICD-9 neoplasm table, you shouldn't have a hard time transitioning to ICD-10 Codes neoplasm codes starting Oct. 1, 2013.

For example, here's how the two code set options for malignant prostate cancer coding compare:

ICD-9 Codes : Under ICD-9, your prostate neoplasm options include:

Primary: 185, Malignant neoplasm of prostate

Secondary: 198.82, Secondary malignant neoplasm of genital organs

Ca in Situ: 233.4, Carcinoma in situ of prostate.

If you report prostatic intraepithelial neoplasia (PIN), you should use 233.4 for PIN III. But you should use 602.3 (Dysplasia of prostate) for PIN I or PIN II.

ICD-10: Your ICD-10 options offer up familiar terms:

Primary: C61, Malignant neoplasm of prostate

Secondary: C79.82, Secondary malignant neoplasm of genital organs

Ca in Situ: D07.5, Carcinoma in situ of prostate.

If you report PIN III, you should use D07.5. For PIN I or PIN II, you should use N42.3 (Dysplasia of prostate) instead.

Remember: When ICD-10 goes into effect on Oct. 1, 2013, you should apply the code set and official guidelines in effect for the date of service reported. Learn more at and

To view the complete list of CCI edits, visit the CMS Web site at .

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