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Home/Diagnosis/ICD-10 Coding for Lytic Lesion

ICD-10 Coding for Lytic Lesion

C79.51
C90.00

Complete ICD-10-CM coding and documentation guide for icd-10 coding for lytic lesion includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Osteolytic Lesion
Bone Lytic Lesion
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Key Information: ICD-10 Coding for Lytic Lesion

Essential facts and insights about ICD-10 Coding for Lytic Lesion

Use ICD-10 code C79.51 for secondary malignant neoplasm of bone, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Secondary malignant neoplasm of bone

Billable Code
C79.51
Billable

Diagnostic Criteria

  • • Confirmed metastasis to bone via imaging or biopsy.

Applicable To

  • • Metastatic bone cancer

Important Notes

  • • Ensure primary malignancy is coded first.

Multiple myeloma not having achieved remission

Billable Code
C90.00
Billable

Diagnostic Criteria

  • • Serum M-protein >3 g/dL
  • • ≥3 lytic lesions on skeletal survey

Applicable To

  • • Multiple myeloma with lytic lesions

Important Notes

  • • Ensure to document the remission status.
Ancillary Codes

Additional codes that may be used with this diagnosis

M85.89

Other specified disorders of bone, multiple sites

Use for benign lytic lesions when no neoplasm is identified.

M84.58XA

Pathological fracture, other site, initial encounter

Use if a pathological fracture is present.

Frequently Asked Questions

What is the ICD-10 code for a lytic lesion?

The ICD-10 code for a lytic lesion depends on the underlying cause. C79.51 is used for metastatic bone cancer, while C90.00 is for multiple myeloma with lytic lesions.

How do you document a lytic lesion?

Document the lesion's size, location, margins, and classification using the Lodwick system. Include biopsy and imaging results for accurate coding.

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