Certain conditions occurring in neoplastic disease have a dagger/asterisk relationship in ICD-10-AM. A specific Neoplasm code should be assigned where possible and not D48.9† Neoplasm of uncertain or unknown behaviour, unspecified, as the aetiology (dagger) code for these conditions.
Example of the index:
Anaemia D64.9
- in neoplastic disease NEC (M8000/1) (see also Neoplasm) D48.9† D63.0*
Fracture
- pathological (cause unknown) M84.4-
- - due to neoplastic disease NEC (M8000/1) (see also Neoplasm) D48.9† M90.7-*
As indicated by the inclusion of 'NEC' in these index entries, D48.9† Neoplasm of uncertain or unknown behaviour, unspecified, should be assigned only when the type of neoplasm is unknown. When the type of neoplasm is known, follow the 'see also Neoplasm' note and assign the appropriate neoplasm code instead of D48.9† Neoplasm of uncertain or unknown behaviour, unspecified.
NOTE: Dagger, Asterisk rule takes precedence in ICD-10-AM Coding-6th Edition.
Dr Santosh Guptha
[email protected]
Example of the index:
Anaemia D64.9
- in neoplastic disease NEC (M8000/1) (see also Neoplasm) D48.9† D63.0*
Fracture
- pathological (cause unknown) M84.4-
- - due to neoplastic disease NEC (M8000/1) (see also Neoplasm) D48.9† M90.7-*
As indicated by the inclusion of 'NEC' in these index entries, D48.9† Neoplasm of uncertain or unknown behaviour, unspecified, should be assigned only when the type of neoplasm is unknown. When the type of neoplasm is known, follow the 'see also Neoplasm' note and assign the appropriate neoplasm code instead of D48.9† Neoplasm of uncertain or unknown behaviour, unspecified.
NOTE: Dagger, Asterisk rule takes precedence in ICD-10-AM Coding-6th Edition.
Dr Santosh Guptha
[email protected]
