History: 76-year-old female with colonic mass
Diagnosis: Invasive adenocarcinoma, 3.4 × 3.0 cm, involving muscularis propria
All margins negative.
No lymphatic invasion.
No metastatic tumor identified.
Gross description: Received fresh is a right colon, 32 cm in length. Upon opening of the specimen, there is a 3.4- × 3.0-cm nodular mass. 36 lymph nodes were retrieved. Representative sections are submitted.
Microscopic description: Microscopic examination performed
Select the appropriate ICD-10-CM and CPT code(s):

Question

Quizplus · Accepted Answer

The ICD-10-CM code C18.2 is for a malignant neoplasm of the ascending colon, which matches the location of the mass in the right colon. The CPT code 88309 is for a complex surgical pathology examination, appropriate for the detailed examination of the colon specimen with a tumor.

History: 76-Year-Old Female with Colonic Mass