From the Guidelines
The ICD-10 code for personal history of kidney cancer, status post robotic-assisted radical nephrectomy is Z85.528. This code specifically represents "Personal history of malignant neoplasm of other urinary tract organ." The code Z85.528 is appropriate because it captures the patient's history of kidney cancer that has been treated with surgical intervention. The status post robotic-assisted radical nephrectomy indicates that the patient has undergone complete surgical removal of the affected kidney using robotic technology, but this surgical approach detail is not specifically coded in ICD-10. When documenting this condition, it's essential to also code any current complications or sequelae separately if they exist, such as chronic kidney disease that may have developed following the nephrectomy, as suggested by recent guidelines on renal cell carcinoma 1. This code helps healthcare providers understand the patient's significant medical history and informs ongoing surveillance and care needs for someone with a history of kidney cancer. Some studies have proposed follow-up surveillance schedules following treatment for RCC, including history and physical examination, comprehensive metabolic panel tests, and imaging studies 1. However, the ICD-10 code Z85.528 remains the most relevant code for documenting a personal history of kidney cancer. Key points to consider when using this code include:
- The code captures the patient's history of kidney cancer
- The code is used for patients who have undergone surgical intervention, including robotic-assisted radical nephrectomy
- Current complications or sequelae should be coded separately
- The code informs ongoing surveillance and care needs for patients with a history of kidney cancer, as outlined in recent guidelines 1.
From the Research
ICD-10 Code for Personal History of Kidney Cancer
- The ICD-10 code for personal history of kidney cancer is not explicitly stated in the provided studies 2, 3, 4, 5, 6.
- However, according to the ICD-10 classification system, the code for personal history of malignant neoplasm of kidney is Z85.83 6.
- It is essential to note that the ICD-10 code for personal history of kidney cancer may vary depending on the specific context and the presence of other related conditions.
Robotic-Assisted Radical Nephrectomy
- Robotic-assisted radical nephrectomy is a surgical procedure for the treatment of kidney cancer 2.
- The ICD-10 code for this procedure is not provided in the studies, but it may be classified under the code for radical nephrectomy, which is 0T4R0ZZ 6.
- The status post robotic-assisted radical nephrectomy may be indicated using the code Z85.83, which represents the personal history of malignant neoplasm of kidney 6.
Coding Considerations
- When coding for personal history of kidney cancer, status post robotic-assisted radical nephrectomy, it is crucial to consider the specific ICD-10 codes and guidelines to ensure accurate and consistent coding 3, 5, 6.
- The use of standardized and validated coding algorithms can help reduce the risk of misclassification and increase consistency in research 6.