Bone Marrow Transplant Treatment

Bone marrow transplantation (BMT) and peripheral blood stem cell transplantation (PBSCT) are procedures that restore stem cells that have been destroyed by high doses of chemotherapy and/or radiation therapy. If bone marrow is infused, code either 11 or 12 (depends on the source of bone marrow, from patient is autologous or from donor is allogeneic) If peripheral blood stem cells are harvested and infused, code 20…

Posted on Aug. 5, 2016 in How Should I Code This?

Clinical AJCC Stage

AJCC Clinical stage is the extent of disease defined by diagnostic study before information is available from surgical resection or neoadjuvant treatment.  The clinical stage incorporates information obtained from symptoms; physical examination; endoscopic examination; imaging studies; biopsies; and surgical exploration without resection.  A blank clinical stage is used only when this criteria is not met; there is no information whatsoever in the EMR; or there was…

Posted on Jul. 29, 2016 in How Should I Code This?

SEER Summary Staging Manual 2000

SEER Summary Stage is required to be directly coded by most state registries.  See below for definitions and helpful tips when assigning the SEER Summary Stage. In situ (code 0) = The presence of malignant cells within the cell group from which they arose.  There is no penetration of the basement membrane of the tissue and no stromal invasion Localized (code 1) = A malignancy limited…

Posted on Jul. 15, 2016 in How Should I Code This?

Using Acute Respiratory Failure as Organ Failure

There have been questions surrounding what can be used as an indication of organ failure if there is documentation of acute respiratory failure with a new need for mechanical ventilation. (Acute respiratory failure as evidenced by a new need for invasive or non-invasive mechanical ventilation. Invasive mechanical ventilation requires an endotracheal or tracheostomy tube. Non-invasive mechanical ventilation (may be referred to as BiPAP) uses a mask.)…

Posted on Jun. 24, 2016 in How Should I Code This?