Secondary malignant neoplasm of the left ovary refers to cancer that has metastasized to the left ovary from another primary site. This condition is clinically significant as it indicates advanced disease and requires careful documentation for accurate diagnosis, treatment planning, and billing. The ICD-10 Code C79.62 facilitates precise coding for healthcare providers, ensuring compliance with billing standards and aiding in public health reporting.
What is ICD-10 Code C79.62 for Secondary malignant neoplasm of left ovary?
ICD-10 Code C79.62 represents a secondary malignant neoplasm located in the left ovary, indicating that cancer has spread from another primary site. This code is used when documenting cases where the left ovary is affected by metastatic cancer, ensuring accurate representation of the patient's condition for clinical documentation and billing purposes.
ICD-10 Code C79.62 – Clinical Definition and Explanation of Secondary malignant neoplasm of left ovary
Secondary malignant neoplasm of the left ovary occurs when cancer cells from a primary tumor spread to the left ovary. This condition often signifies advanced cancer and necessitates prompt medical evaluation and intervention. It is crucial for healthcare providers to recognize its implications for treatment and prognosis.
Key Clinical Features:
- Metastatic cancer history from primary sites such as breast, colon, or endometrial cancer.
- Symptoms may include abdominal pain, bloating, or changes in menstrual patterns.
- Diagnostic imaging may reveal ovarian masses or ascites.
- Requires multidisciplinary management including oncology and surgical intervention.
ICD-10 Code C79.62 for Secondary malignant neoplasm of left ovary – SOAP Notes & Clinical Use
ICD-10 Code C79.62 is utilized in SOAP notes to document the presence of secondary malignant neoplasm in the left ovary. It plays a vital role in capturing the patient's symptoms, assessment findings, and treatment plans, ensuring comprehensive care in both acute and chronic settings.
What Does ICD-10 Code C79.62 for Secondary malignant neoplasm of left ovary Mean in SOAP Notes?
In SOAP notes, ICD-10 Code C79.62 connects subjective patient-reported symptoms and objective clinical findings to a formal diagnosis of secondary malignant neoplasm of the left ovary. This code is essential for maintaining continuity of care, supporting accurate billing, and adhering to EHR documentation standards.
Treatment Options for ICD-10 Code C79.62 – Secondary malignant neoplasm of left ovary
The management of secondary malignant neoplasm of the left ovary requires urgent medical attention, often necessitating hospitalization for comprehensive care.
Antibiotic Therapy:
- Not applicable as this condition is not infectious.
Supportive Care:
- Pain management with analgesics.
- Nutritional support to address weight loss.
- Psychosocial support for emotional well-being.
Infection Control:
- Standard precautions to prevent infection during treatment.
How to Document Symptoms of Secondary malignant neoplasm of left ovary (ICD-10 C79.62) in SOAP Notes
Subjective:
- Patient reports persistent left abdominal pain.
- History of weight loss and fatigue.
- Menstrual irregularities noted in the past few months.
Objective:
- Physical examination reveals left adnexal mass.
- Imaging shows a solid lesion in the left ovary.
- Ascites detected on ultrasound.
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SOAP Note Guidelines for Diagnosing Secondary malignant neoplasm of left ovary (ICD-10 Code C79.62)
Assessment:
- Diagnosis: Secondary malignant neoplasm of left ovary, severe.
- ICD-10 Code: C79.62.
- Contributing factors include history of breast cancer.
Plan:
- Refer to oncology for chemotherapy evaluation.
- Consider surgical consultation for possible resection.
- Schedule follow-up imaging to monitor disease progression.
Treatment & Plan Section for ICD-10 Code C79.62 – Secondary malignant neoplasm of left ovary
- Initiate chemotherapy based on tumor type and staging.
- Provide education on potential side effects and management.
- Monitor for complications such as bowel obstruction.
- Schedule regular follow-up appointments for ongoing assessment.
Using ICD-10 Code C79.62 for Secondary malignant neoplasm of left ovary in Billing & SOAP Note Compliance
- Ensure accurate documentation of symptoms and findings in SOAP notes.
- Use C79.62 in conjunction with relevant primary cancer codes.
- Maintain compliance with coding guidelines to support billing.
- Document treatment plans that align with clinical guidelines.
Related ICD-10 Codes Often Used with Secondary malignant neoplasm of left ovary
- C79.61 – Secondary malignant neoplasm of right ovary
- C79.31 – Secondary malignant neoplasm of peritoneum
- C50.919 – Malignant neoplasm of unspecified site of breast
- C18.9 – Malignant neoplasm of colon, unspecified
ICD-10 Code C79.62 in Medical Billing and Insurance for Secondary malignant neoplasm of left ovary
ICD-10 Code C79.62 is critical in medical billing, particularly in hospital and oncology settings.
Billing Notes:
- Document all relevant clinical findings to support the diagnosis.
- Use C79.62 in conjunction with primary cancer codes for accurate billing.
- Ensure that treatment plans are clearly outlined in the medical record.
Common CPT Pairings:
| CPT Code | Description |
|---|---|
| 99223 | Initial hospital care, typically involving a comprehensive evaluation. |
| 96413 | Chemotherapy administration, intravenous, for cancer treatment. |
| 58661 | Laparoscopy, surgical, with removal of ovarian cyst or tumor. |
Frequently Asked Questions
Common Questions About Using ICD-10 Code C79.62 for Secondary malignant neoplasm of left ovary
What are the common symptoms of secondary malignant neoplasm of the left ovary?
Common symptoms include abdominal pain, bloating, changes in menstrual cycles, and unexplained weight loss. Patients may also experience fatigue and gastrointestinal disturbances.
How is the diagnosis of secondary malignant neoplasm of the left ovary confirmed?
Diagnosis is typically confirmed through imaging studies such as ultrasound or CT scans, along with histopathological examination of biopsy samples to identify cancerous cells.
What treatment options are available for this condition?
Treatment options may include chemotherapy, surgical intervention, and supportive care to manage symptoms. The specific approach depends on the primary cancer type and overall patient health.
How does ICD-10 Code C79.62 impact billing?
ICD-10 Code C79.62 is essential for accurate billing as it specifies the diagnosis of secondary malignant neoplasm, ensuring that healthcare providers are reimbursed appropriately for the services rendered.
