Clinical Indication: Carcinoma of the right breast, mastectomy and chemotherapy completed with no recurrence; now presents with skeletal metastases.
Procedure: Multiple tomograms of L. lung show no dominant nodules within the lung. Multiple osteolytic metastases are present in several of the ribs in posteriolateral aspect involving third, fourth, fifth, six, and seventh ribs. Small amount of pleural reaction is noted in the L costophrenic angle. Hilar shadows are unremarkable. Shadow for L breast is absent.
Impression: No definite metastatic nodules in L lung. Multiple mixed osteolytic and osteoblastic changes in several ribs in the L chest probably due to metastatic neoplasm.
Select the appropriate CPT and ICD-10-CM codes.

Question

Quizplus · Accepted Answer

The correct CPT code for a CT scan of the chest without contrast is 71250. The ICD-10-CM codes include C79.51 for the secondary malignant neoplasm of bone and bone marrow, indicating the skeletal metastases, and Z85.3 for the personal history of malignant neoplasm of breast, reflecting the patient's history of breast cancer.

Clinical Indication: Carcinoma of the Right Breast, Mastectomy and Chemotherapy