Find comprehensive information on throat cancer history documentation, including clinical terminology, ICD-10 codes (C10, C11, C12, C13, C32), medical coding guidelines, and best practices for healthcare professionals. Learn about staging (TNM), risk factors, symptoms, diagnosis, and treatment options related to throat cancer (pharyngeal cancer, laryngeal cancer, hypopharyngeal cancer) to improve patient care and ensure accurate medical records. This resource offers valuable insights for physicians, nurses, coders, and other healthcare providers involved in documenting and managing throat cancer cases.
Also known as
Personal history of malignant neoplasm of throat
Indicates a past diagnosis of throat cancer.
Malignant neoplasms of lip, oral cavity, and pharynx
Includes codes for active throat cancers, which may be relevant to history.
Malignant neoplasm of larynx
Covers laryngeal cancer, sometimes considered part of throat cancer history.
Factors influencing health status and contact with health services
This section includes Z85.1, the specific code for history of throat cancer
Follow this step-by-step guide to choose the correct ICD-10 code.
Is the throat cancer currently active?
Yes
Site of active cancer?
No
Is patient in remission?
When to use each related code
Description |
---|
Throat cancer diagnosis |
Leukoplakia of throat |
Dysplasia of throat |
Coding throat cancer without specifying laterality (left, right, or bilateral) can lead to inaccurate reporting and reimbursement issues.
Miscoding active throat cancer as history of throat cancer, or vice versa, impacts treatment planning and quality metrics. CDI review crucial.
Lack of specific histology code for the type of throat cancer can hinder accurate cancer registry reporting and research data.
Patient presents with a history of throat cancer (oropharyngeal squamous cell carcinoma), diagnosed on [Date of Diagnosis] and staged as [TNM Stage] at that time. The primary tumor site was [Location of primary tumor, e.g., base of tongue, tonsil, soft palate] with [presence/absence] of lymph node involvement and [presence/absence] of distant metastasis. Treatment consisted of [Treatment Modalities, e.g., surgery, radiation therapy, chemotherapy, targeted therapy, immunotherapy] completed on [Date of treatment completion]. Patient reports [current symptoms, e.g., dysphagia, odynophagia, voice changes, neck mass, persistent cough, ear pain, weight loss] or denies any residual or recurrent symptoms. Physical exam reveals [objective findings related to prior treatment, e.g., surgical scars, trismus, xerostomia, neck fibrosis, radiation dermatitis]. Oncology follow-up status is [Active surveillance, No evidence of disease, Recurrence]. Current medications include [List medications relevant to throat cancer history, e.g., pain management, reflux medication, thyroid replacement]. Plan includes [ongoing surveillance plan including frequency and type of follow-up appointments and imaging, management of current symptoms, referrals as needed, patient education regarding long-term effects of throat cancer treatment, e.g., dental care, swallowing therapy, nutritional support]. Assessment: History of throat cancer. ICD-10 code: C14.X (specify site and laterality as applicable) and Z85.850 (personal history of malignant neoplasm of the throat).