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v1.0.0
ICD-10 Guide
ICD-10 CodesC46.51

C46.51

Billable

Kaposi's sarcoma of right lung

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

Code Description

ICD-10 C46.51 is a billable code used to indicate a diagnosis of kaposi's sarcoma of right lung.

Key Diagnostic Point:

Kaposi's sarcoma (KS) is a vascular tumor associated with human herpesvirus 8 (HHV-8) infection, commonly seen in immunocompromised individuals, particularly those with HIV/AIDS. It can manifest in various forms, including cutaneous, lymphatic, and visceral involvement. When KS affects the lungs, it can lead to respiratory symptoms such as cough, hemoptysis, and dyspnea. The right lung is often involved due to anatomical and hemodynamic factors. Diagnosis typically involves imaging studies, such as CT scans, and histopathological examination of lung biopsies. Treatment options include antiretroviral therapy (ART) for HIV management, chemotherapy (e.g., liposomal doxorubicin), and localized therapies such as radiation for symptomatic relief. The prognosis varies based on the extent of disease and response to treatment, with early intervention being crucial for improving outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of HIV/AIDS associations
  • Differentiation from other lung tumors
  • Understanding of staging and extent of disease
  • Need for precise documentation of lung involvement

Audit Risk Factors

  • Inadequate documentation of HIV status
  • Failure to specify lung involvement
  • Misclassification of KS as another type of cancer
  • Lack of evidence for treatment modalities used

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Patients presenting with respiratory symptoms and a known history of HIV.

Billing Considerations

Ensure accurate staging and treatment response documentation.

Infectious Disease

Documentation Requirements

Documentation of HIV viral load, CD4 counts, and treatment history.

Common Clinical Scenarios

Patients with opportunistic infections and malignancies related to HIV.

Billing Considerations

Linking KS to HIV status is crucial for accurate coding.

Coding Guidelines

Inclusion Criteria

Use C46.51 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the primary diagnosis and any related conditions
  • Include details on the extent of KS and its relationship to HIV

Exclusion Criteria

Do NOT use C46.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96440CPT Code

Chemotherapy administration, intravenous

Clinical Scenario

Used for patients receiving chemotherapy for KS.

Documentation Requirements

Document the type of chemotherapy and patient response.

Specialty Considerations

Oncology specialists must ensure accurate coding of treatment modalities.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of Kaposi's sarcoma, improving the ability to capture the nuances of the disease, particularly its association with HIV.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of Kaposi's sarcoma, improving the ability to capture the nuances of the disease, particularly its association with HIV.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of Kaposi's sarcoma, improving the ability to capture the nuances of the disease, particularly its association with HIV.

Resources

Clinical References

  • •
    Kaposi's Sarcoma: A Comprehensive Overview

Coding & Billing References

  • •
    Kaposi's Sarcoma: A Comprehensive Overview

Frequently Asked Questions

What is the primary cause of Kaposi's sarcoma?

Kaposi's sarcoma is primarily caused by infection with human herpesvirus 8 (HHV-8), particularly in immunocompromised individuals such as those with HIV/AIDS.