Why Plans Should Focus on Accurate Documentation Capture for Health Risk Assessments (HRA’s), for 2014 Pt. 2

Presents: HCC Coding Corner 2014 

Part 2
 

 TARGET:CANCER HCC DOCUMENTATION aCTIVE vs hISTORY

coding-corner-2014

 

ACTIVE CANCER

•     AN ACTIVE CANCER DX CODE DOES NOT STARTWITHA “V” –

•      ACTIVE CANCER IS STILLPRESENT AND/OR UNDER ADJUVANTTHERAPY

 

TYPES OF ADJUVANT THERAPY:

 •      SURGERY,

•      IMMUNOTHERAPY

•      CHEMOTHERAPY                                      


DOCUMENTATION EXAMPLE of Active Cancer:
 

•      PROSTATE CA, ON RADIATION = 185*

•      PROSTATE CA, ON LUPRON = 185*

•      BREAST CA, S/P MASTECTOMY, STILL ON TAMOXIFEN = 174.9*(nos)

HISTORYOFCANCER:

•      CODEALWAYS  STARTSWITH  A  “V”

•      INDICATESTHE CANCER IS  NOT CURRENTLY PRESENTAND NOTUNDER ANY CURRENT TREATMENT


DOCUMENTATION EXAMPLE of History of Cancer:

•      PERSONAL HISTORY OF MALIGNANT NEOPLASM :  V10.0 – V10.91*

•      BREAST CA, S/P MASTECTOMY = V10.3*

•      H/O PANCREATIC CA = V10.09*

HCC TIP:

•      All Malignant Neoplasms Risk Adjust – EXCEPT SKIN AND LIP

•      Malignant Melanoma Risk Adjusts

 

*Please refer to Current 2014 ICD-9 AHA Coding Guides for further Coding Guidance