Medical Coding Exam Prep

Category - ICD-10

Zina, a 45-year-old patient, is admitted to the hospital with suspected neoplasm in the lover. She has a history of carcinoma of the colon and exploratory laparotomy to resect a significant mass of the sigmoid colon. After performing a biopsy, the diagnosis was given as the presence of adenocarcinoma in the liver secondary to neoplasm in the colon. What is the correct ICD-CM coding for this case?
  1. C18.7
  2. C20.0
  3. C78.7
  4. C25.0
Explanation
Answer: C 

C78.7 is the appropriate code because it codes for secondary malignant neoplasm of liver that includes adenocarcinoma of the liver. 

Option A is not correct because C18.7 codes for malignant neoplasm of the sigmoid colon. Here, the management of neoplasm in the colon is already done so, this is not appropriate. 

Option B is not correct because C20.0 codes for malignant neoplasm in the rectum which is not the diagnosis here. 

Option D is not correct because C25.0 is used to code for the malignant neoplasm of the head of the pancreas. 
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