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History of Cancer-CMS states is unacceptable Primary dx code

Good Morning,

I just reviewed a list put out by CMS stating the Z08, Z09 are not acceptable for primary dx codes. From the guidelines in the ICD10, book how I understand it, is we are supposed to use Z08-Follow up Examination after completed treatment for malignant neoplasm followed by the code to reflect what kind of neoplasm, so for example Z85.3 Breast Cancer.

When patients are no longer getting treatment for their cancer and they are without evidence of disease recurrence then how else should it be coded? Ideas?

Thanks,
EB

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