predisposition to breast cancer

What code do I need to use to show that patient has a predisposition to breast cancer? PALB 2 gene positive and had a prophylactic mastectomy. Need this code for the M1011.

Brenda Hoss


  • edited May 2017
    At this time, there is no clear direction how to accurately code PALB 2 gene positive status as the reason for prophylactic mastectomy in M1011. The only suggestion I have seen is: R97.8, Other abnormal tumor markers. If anyone has other information, or guidance from Coding Clinic, please share with us all.

    Thank you,

    Susan Winokur, HCS-D, BCHH-C | Southwest Medical
    Part of OptumCare
    Senior Medical Coder, Home Health

    8655 South Eastern Avenue, Las Vegas, NV 89123 USA
    T +1 702-838-0644
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