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ICD-10 Guide
ICD-10 CodesC34.82

C34.82

Billable

Malignant neoplasm of overlapping sites of left bronchus and lung

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C34.82 is a billable code used to indicate a diagnosis of malignant neoplasm of overlapping sites of left bronchus and lung.

Key Diagnostic Point:

C34.82 refers to a malignant neoplasm located at the overlapping sites of the left bronchus and lung. This condition is characterized by the uncontrolled growth of abnormal cells in the lung tissue and bronchial structures, which can lead to significant morbidity and mortality. Lung cancer is often associated with risk factors such as smoking, exposure to secondhand smoke, and environmental pollutants. The diagnosis typically involves imaging studies, such as CT scans, and histopathological examination of biopsy specimens. Staging of lung cancer is crucial for determining the prognosis and treatment options, with the TNM (Tumor, Node, Metastasis) system being the most widely used. Molecular markers, including EGFR mutations and ALK rearrangements, play a vital role in guiding targeted therapies. Treatment algorithms may include surgery, chemotherapy, radiation therapy, and immunotherapy, depending on the stage and specific characteristics of the tumor.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise documentation of tumor location and extent.
  • Involves understanding of staging systems and molecular markers.
  • Differentiation from other lung cancer types and overlapping sites.
  • Potential for multiple treatment modalities impacting coding.

Audit Risk Factors

  • Inadequate documentation of smoking history.
  • Failure to document staging details.
  • Misclassification of tumor site.
  • Lack of clarity in treatment plans.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Initial diagnosis, staging workup, and treatment planning.

Billing Considerations

Ensure all relevant molecular testing results are documented.

Pulmonology

Documentation Requirements

Pulmonary function tests, imaging, and clinical assessments.

Common Clinical Scenarios

Management of lung cancer symptoms and complications.

Billing Considerations

Document any co-existing pulmonary conditions that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use C34.82 When
  • According to ICD
  • 10 coding guidelines, C34
  • 82 should be used when the documentation specifies malignant neoplasm at overlapping sites of the left bronchus and lung
  • Coders must ensure that the diagnosis is confirmed by pathology and that staging is appropriately documented

Exclusion Criteria

Do NOT use C34.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

32551CPT Code

Thoracentesis, needle drainage of pleural effusion

Clinical Scenario

Used in patients with lung cancer presenting with pleural effusion.

Documentation Requirements

Document indication for procedure and findings.

Specialty Considerations

Pulmonology should ensure accurate coding based on imaging findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of lung cancer types, including overlapping sites, which enhances data accuracy and improves patient care management.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of lung cancer types, including overlapping sites, which enhances data accuracy and improves patient care management.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of lung cancer types, including overlapping sites, which enhances data accuracy and improves patient care management.

Resources

Clinical References

  • •
    American Cancer Society - Lung Cancer

Coding & Billing References

  • •
    American Cancer Society - Lung Cancer

Frequently Asked Questions

What is the significance of overlapping sites in lung cancer coding?

Overlapping sites indicate that the tumor affects multiple anatomical structures, which can complicate staging and treatment decisions. Accurate coding is essential for appropriate management and reimbursement.