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A 32-year-old sees her obstetrician about a lump in the lower outer quadrant of the right breast. Her mother and aunt both have a history of breast cancer. What diagnosis code(s) should be reported

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Three diagnosis code(s) should be reported-

  • N63, Z80.3
  • N63 (lump in breast, unspecified)
  • Z80.3 (Family history of malignant neoplasm of breast)

What are NEC and NOS considered in the ICD-10-CM code book?

  • The ICD-IO-CM codebook employs the terms NEC and NOS. Reason: ICD-10-CM recommendation States in I.A. The acronyms NEC and NOS are used.
  • Not Elsewhere Classifiable is referred to as NEC, and Not Otherwise Specified is referred to as NOS.

What are NEC and NOS considered?

  • The initials "NEC" and "NOS" are alphanumeric abbreviations. NEC and NOS stand for "Not Elsewhere Classified" and "Not Otherwise Specified," respectively.
  • Simply put, NEC denotes that although your doctor provided you with a very specific diagnosis, the codes do not go that far.

What is the difference between NOS and NEC ?

  • The Alphabetic Index uses the abbreviation NEC (not elsewhere categorized) to denote conditions for which there is no distinct code.
  • The term "NOS" (not else specified), which is only used in the Tabular List, is identical to "unspecified."

Learn more about diagnosis code

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