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v1.0.0
ICD-10 Guide
ICD-10 CodesC46.52

C46.52

Billable

Kaposi's sarcoma of left lung

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

Code Description

ICD-10 C46.52 is a billable code used to indicate a diagnosis of kaposi's sarcoma of left lung.

Key Diagnostic Point:

Kaposi's sarcoma (KS) is a type of cancer that arises from the endothelial cells lining blood vessels and is characterized by the development of tumors in the skin, lymph nodes, and internal organs. It is most commonly associated with immunosuppression, particularly in individuals with HIV/AIDS. KS can manifest as purple or brown lesions on the skin, but when it affects the lungs, it can lead to respiratory symptoms such as cough, hemoptysis, and dyspnea. The presence of KS in the lungs indicates advanced disease and is often a sign of significant immunocompromise. Diagnosis typically involves imaging studies, such as CT scans, and biopsy of the lesions. Treatment options include antiretroviral therapy (ART) for HIV-positive patients, chemotherapy, and localized radiation therapy, depending on the extent of the disease and the patient's overall health. The prognosis for patients with pulmonary KS varies, but early detection and treatment can improve outcomes significantly.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Requires knowledge of HIV/AIDS associations and their impact on KS.
  • Differentiation from other lung cancers and pulmonary conditions.
  • Need for precise documentation of the location and extent of lesions.
  • Potential for multiple coding scenarios based on treatment approaches.

Audit Risk Factors

  • Inadequate documentation of HIV status.
  • Failure to specify the extent of lung involvement.
  • Misclassification of KS as another type of lung cancer.
  • Lack of clarity in treatment plans and outcomes.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Patients presenting with skin lesions and respiratory symptoms, requiring staging and treatment planning.

Billing Considerations

Accurate staging is crucial for treatment decisions and coding.

Infectious Disease

Documentation Requirements

Comprehensive history of HIV status, ART adherence, and opportunistic infections.

Common Clinical Scenarios

Management of HIV-positive patients with KS and other opportunistic infections.

Billing Considerations

Coordination of care between specialties is essential for optimal patient management.

Coding Guidelines

Inclusion Criteria

Use C46.52 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the diagnosis, treatment, and any related conditions
  • Include specific details about the patient's HIV status and the extent of KS involvement

Exclusion Criteria

Do NOT use C46.52 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

96413CPT Code

Chemotherapy administration, intravenous

Clinical Scenario

Used when administering chemotherapy for KS treatment.

Documentation Requirements

Document the drug administered, dosage, and patient response.

Specialty Considerations

Oncology specialists must ensure accurate coding of chemotherapy sessions.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 allows for more specific coding of Kaposi's sarcoma, improving data accuracy and enhancing the ability to track disease prevalence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 allows for more specific coding of Kaposi's sarcoma, improving data accuracy and enhancing the ability to track disease prevalence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 allows for more specific coding of Kaposi's sarcoma, improving data accuracy and enhancing the ability to track disease prevalence and treatment outcomes.

Resources

Clinical References

  • •
    Kaposi's Sarcoma: A Comprehensive Overview

Coding & Billing References

  • •
    Kaposi's Sarcoma: A Comprehensive Overview

Frequently Asked Questions

What is the significance of coding C46.52?

Coding C46.52 accurately reflects the diagnosis of Kaposi's sarcoma in the left lung, which is crucial for treatment planning and epidemiological tracking, especially in HIV-positive patients.