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Asked by Ashley Cowart on Jun 15, 2024

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What is the correct code assignment for a 40-year-old patient who is admitted for prophylactic removal of both breasts due to a strong family history of breast cancer?

A) Z40.01, Z80.3
B) Z40.01, Z85.3
C) Z80.3, Z40.01
D) Z85.3, Z40.01

Prophylactic Removal

The preemptive surgical removal of a body part or tissue to prevent disease or adverse health outcomes.

Family History

Information about diseases and health conditions that have occurred in a person's direct and close relatives, used for medical assessment and risk evaluation.

Breast Cancer

A malignant tumor that originates in the breast cells, one of the most common cancers among women.

  • Identify the coding for procedural interventions in the management of cancer.
  • Understand the methods of coding for unique scenarios such as indeterminate primary locations or preventative measures.
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LC
Lindsay CutlipJun 22, 2024
Final Answer :
A
Explanation :
Z40.01 is the correct code for Encounter for prophylactic removal of breast, and Z80.3 is the correct code for Family history of malignant neoplasm of breast. The order of the codes places the reason for the encounter first, followed by the code for the family history that justifies the prophylactic procedure.

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