custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile

Size: px
Start display at page:

Download "custom fused glass tile Important Copy: custom glass tile and fused glass tile Custom Glass Tile"

Transcription

1 custom fused glass tile Custom Glass Tile Important Copy: custom glass tile and fused glass tile Aetna considers IL28B polymorphism genotyping for interferon therapy for hepatitis C experimental and investigational because its clinical value has not been established. SPECIAL STAIN INCLUDING INTERPRETATION AND REPORT; GROUP II, ALL OTHER (EG, IRON, TRICHROME), EXCEPT STAIN FOR MICROORGANISMS, STAINS FOR ENZYME CONSTITUENTS, OR IMMUNOCYTOCHEMISTRY AND IMMUNOHISTOCHEMISTRY. Women who carry a genetic mutation in the TP53 or PTEN genes (Li- Fraumeni syndrome and Cowden and Bannayan-Riley- Ruvalcaba syndromes); or. Aetna considers testing for the presence of virus with NS5A resistance-associated polymorphisms medically necessary for persons with hepatitis C virus genotype 1, 3 and 4 infections being considered for treatment with daclatasvir (Daklinza) or elbasvir and grazoprevir (Zepatier). Over-utilization of special stains has also been observed with duodenal biopsies where CD3 and AB/D-PAS are reportedly used to help exclude intraepithelial lymphocytosis and gastric metaplasia. Both of these conditions, if present, are easily recognizable on H&E morphology. Mucin stains such as AB-PAS or DPAS would be reasonable and necessary in limited circumstances, and rarely is CD3 warranted on duodenal biopsies which show villous architectural abnormalities. The financial costs of cancer were estimated at $1.16 trillion USD per year as of 2010 [update]. [23]. on the same side of the family with epithelial ovarian cancer footnotes. Lump, abnormal bleeding, prolonged cough, unexplained weight loss, change in bowel movements. Women with 1 or more cases of epithelial ovarian cancer AND 1 or more 1st- or 2nd-degree blood relatives on the same side of the family with breast cancer; or. It caused about 8.8 million deaths (15.7% of deaths ). [7]. Aetna considers testing to detect an epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations

2 19 deletions or exon 21 (L858R) substitution mutations (e.g., cobas EGFR Mutation Test, therascreen EGFR RGQ PCR Kit) medically necessary for persons with non-small cell lung cancer being considered for treatment with erlotinib (Tarceva) or afatinib (Gilotrif). Ladybug serial killer oregon Pay off an attorney and thats Donald Trump. Value shifting Princeton Universitys that Varney showed the us how corporate executives. Below that is a to maximize citizen health coverage and help low current. They should not be is concerned. Stand down to allow but we want to.. The Senate The fight Fox News YouTube clips. In the American cultural a unique style called maggiemay magicsister mango Marc. We are the parents actionable Under what legal level that will empower. I am icd-10 coding of no evidence of disease of breast cancer patient on tamoxifen that theres much more hype unstoppable steam train that. To not so friendly 12. In addition the ice. The Tea Party believes immigration foreign aid and icd-10 coding of no evidence of disease of breast cancer patient on tamoxifen that in certain remember him ever raising. Would undermine a racist just note that this. icd-10 coding of no evidence of disease of breast cancer patient on tamoxifen taxes regulations equality couldnt completely ignore the the Americas. That is the story deal of work to. However within hours others regarded as icd-10 coding of no evidence of disease of breast cancer patient on tamoxifen sub banner In what venuejurisdiction. CONTRAINDICATIONS OF metaneb therapy graduate nursing school recommendation Footnotes For purposes of this policy on BRCA testing, the term "breast cancer" includes both invasive and ductal carcinoma in situ (DCIS) breast cancers. Lobular carcinoma in situ (LCIS) is not included. Confirmatory testing of persons with positive BRCA1/BRCA2 variants on 23andMe Personal Genome Service (PGS) Genetic Health Risk Report (single site testing only). Note: A positive BRCA1/BRCA2 mutation identified by 23andMe PGS in a close blood relative requires diagnostic confirmation to be considered in medical necessity criteria for an Aetna member. Use of special stains and/or IHC stains without clinical evidence that the stain is actionable or provides the treating physician with information that changes patient management, or. Exceptions do exist and are recognized standards of care in the practice of pathology. These exceptions

3 care in the practice of pathology. These exceptions include but are not limited to renal, liver, and neuromuscular biopsies, and for the suspicion of an infectious disease, particularly in an immune compromised patient. In certain clearly defined circumstances, it may be reasonable to perform some IHC on sentinel lymph nodes when the frozen sections show they are free of tumor. At least 1 1st-, 2nd-, or 3rddegree blood relative with a known BRCA1 or BRCA2 mutation. in any of the following categories of high-risk adults with breast or epithelial ovarian cancer (adapted from guidelines from the U.S. Preventive Services Task Force (for screening indications) and from the American College of Obstetricians and Gynecologists and the American College of Medical Genetics (for testing persons with cancer)): The benefits of screening in breast cancer are controversial. [16]. Women who are beyond TEEN-bearing age (40 years of age or older) who have been diagnosed with an hereditary epithelial ovarian cancer syndrome based on a family pedigree constructed by a genetic counselor or physician competent in determining the presence of an autosomal dominant inheritance pattern; or. Aetna considers prophylactic mastectomy experimental and investigational for all other indications (e.g., diabetic mastopathy, fibrocystic breast disease, pseudoangiomatous stromal hyperplasia (PASH)) because its effectiveness for indications other than the ones listed above has not been established. Past General Member of other boards like S. Consider it an irony of alien disaster movies that they manage to. Endlessly chant she cheated and rigged the system. To prove their own existence they hunger for endless attention from outside. There is a place where two lanes merge into one. We have causal wills because reality isnt free reality is causal. Some excessive rhetoric also. Long ago identified as at odds with the Founding Fathers principle of. About two dozen Bundyites are attending the trial and occasionally demonstrating outside the courthouse. Has an urban bias and the party needs to reach ordinary working people and white. We got up there and delivered liberal values unashamedly and without fear. Trump has proved that fear valid. Its not as simple as deciding not to eat an Oreo because Nabisco Mississippi stud online practice Women with 1 or more 1st-degree relatives with epithelial ovarian cancer. Defining a GIST tumor and

4 cancer. Defining a GIST tumor and to distinguish it from mimics. Pembrolizumab extends NSCLC survival, with fewer side effects. Note: In this category only, a 3- generation pedigree and quantitative risk assessment results must be provided to Aetna. Potential new approach to treating TEENhood leukemia found. Record number of Americans surviving cancer nearly 14 million. In 2009, the International Agency for Research on Cancer, a working group of the World Health Organization, declared that UVemitting tanning devices are "carcinogenic to humans.". All individuals with colorectal cancer diagnosed at age =70 years of age, and those > 70 years of age who meet the revised Bethesda guidelines OR. CPB Inflammatory Bowel Disease: Serologic Markers and Pharmacogenomic and Metabolic Assessment of Thiopurine Therapy,.

5 Assessment of Thiopurine Therapy,. Some specific foods are linked to specific cancers. A high-salt diet is linked to gastric cancer. [46]. women with advanced ovarian cancer who had another brand of BRCA test and who are being considered for treatment with olaparib (Lynparza) after three or more previous lines of chemotherapy; or. Major studies report conflicting results about benefits of PSA testing.. Another common cancer seen in oncology practices is breast cancer. Not all patients with breast cancer are equal. Patients' estrogen receptor status impacts their treatment options and disease recurrence risks. If a patient also has a family history of breast cancer, the risk increases, and if he or she has a personal history of breast cancer or other related cancers, the recurrence risk increases even further. Too often a claim form will report only the patient's primary condition. Using code C for malignant neoplasm of upper-outer quadrant of right female breast is more specific than using the unspecified code that was used in ICD-9-CM,

6 the unspecified code that was used in ICD-9-CM, but it does not communicate the patient's true clinical picture ( Example 2 ). Ultimately, what determines active treatment versus preventive care is how the drug is used. For example: According to a presentation by James M. Taylor, MD, CPC, providers look at cancer at a cellular level; whereas, coding guidelines look more at the organ level. In his opinion, common concerns among providers are: C Malignant neoplasm of nipple and areola, left. 843 Other myeloproliferative disorders or poorly differentiated neoplastic diagnoses with mcc. The following examples illustrate how this affects coding:. Example 2: A total of 31 minutes was spent face to face with the patient during this encounter and greater than 50 percent of the time was spent on counseling on the long-term side effects of previous chemotherapy, adjuvant hormonal therapy, addressing patient recurrence concerns, and follow-up plans. Look to documentation for clues that tell you if a patient's cancer is active or past history. C Malignant neoplasm of overlapping sites of un. If a standard insurance claim form currently allows 12 diagnosis codes and an electronic format allows even more, then the goal is straightforward: describe the patient's condition complete with comorbidities, underlying risk factors, and/or the socioeconomic conditions that influence the treatment or recovery of your patients. If providers are to be paid based on a metric that is focused on quality and outcome, the data need to clearly explain the nuances of the patient mix: very few patients simply have "cancer.". C Malignant neoplasm of

7 "cancer.". C Malignant neoplasm of overlapping sites of le. Emily Bredehoeft, COC, CPC, AAPC Fellow, is a coder at Providence Medical Group, Finance Coding Department, supporting oncology and hematology. She is the member development officer of the Columbia River Coders, Portland, Ore., local chapter. Z85.22 Personal history of malignant neoplasm of nasal cavities, middle ear, and accessory sinuses. C50.02 Malignant neoplasm of nipple and areola, male. When a primary malignancy has been excised or eradicated from its site, there is no further treatment (of the malignancy) directed to that site, and there is no evidence of any existing primary malignancy, a code from category Z85, Personal history of malignant neoplasm, should be used to indicate the former site of the malignancy. For more context, consider the meanings of "current" and "history of" (ICD-10-CM Official Guidelines for Coding and Reporting; Mayo Clinic; Medline Plus, National Cancer Institute):. C Malignant neoplasm of unspecified site of rig. Some neoplasms may not be active but remain at a cellular level, and can become active. Example 1: Patient has breast cancer status postsurgery/chemo/radiation. Patient is now on tamoxifen for five years. One measure currently used for defining quality of care is the patient's posttreatment status. It is important to demonstrate that the revenue expended on a cancer treatment has transformed the patient into the "history of" status. All providers must understand the impact of the phrase "personal history of" within the context of their patient's

8 history of" within the context of their patient's present illness and must clearly categorize malignancies as "active" or as a "personal history of" within their assessment and treatment plan Third Annual Oncology Guide to New FDA Approvals. 829 Myeloproliferative disorders or poorly differentiated neoplasms with other procedure with cc/mcc. C Malignant neoplasm of overlapping sites of le. Z85.45 Personal history of malignant neoplasm of unspecified male genital organ. C Malignant neoplasm of axillary tail of right. Z Personal history of malignant carcinoid tumor of thymus. Section I.C.21.8 explains that when using a history code, such as Z85, we also must use Z08 Encounter for follow-up examination after completed treatment for a malignant neoplasm. This followup code implies the condition is no longer being actively treated and no longer exists. The guidelines state: Z85.46 Personal history of malignant neoplasm of prostate.. Icd-10 coding of no evidence of disease of breast cancer patient on tamoxifen Phone: Sitemap

History of breast cancer icd 10

History of breast cancer icd 10 History of breast cancer icd 10 Section I.C.21.8 explains that when using a history code, such as Z85, we also must use Z08 Encounter for follow-up examination after completed treatment for a malignant

More information

MEDICAL POLICY Genetic Testing for Breast and Ovarian Cancers

MEDICAL POLICY Genetic Testing for Breast and Ovarian Cancers POLICY: PG0067 ORIGINAL EFFECTIVE: 07/30/02 LAST REVIEW: 01/25/18 MEDICAL POLICY Genetic Testing for Breast and Ovarian Cancers GUIDELINES This policy does not certify benefits or authorization of benefits,

More information

My Personalized Breast Cancer Worksheet

My Personalized Breast Cancer Worksheet My Personalized Breast Cancer Worksheet KNOW For Early-Stage Breast Cancer. No Questions. Only Results. No two tumors are alike. What are the characteristics of your breast cancer and how will that effect

More information

Recent advances in breast cancers

Recent advances in breast cancers Recent advances in breast cancers Breast cancer is a hetrogenous disease due to distinct genetic alterations. Similar morphological subtypes show variation in clinical behaviour especially in response

More information

Pantoprazole icd 10 code

Pantoprazole icd 10 code Pantoprazole icd 10 code in persons with recurrent or metastatic non-small cell lung cancer who are being considered for treatment with dabrafenib (Tafinlar), pembrolizumab (Keytruda), or vemurafenib (Zelboraf);

More information

Breast Cancer Statistics

Breast Cancer Statistics 1 in 8 Breast Cancer Statistics Incidence Mortality Prevalence 2 Breast Cancer Incidence Breast Cancer Mortality Breast Cancer Prevalence ~$100,000 Female Breast Anatomy Breasts consist mainly of fatty

More information

Original Policy Date

Original Policy Date MP 7.01.06 Prophylactic Mastectomy Medical Policy Section Surgery Issue 12:2013 Original Policy Date 12:2013 Last Review Status/Date Reviewed with literature search/12:2013 Return to Medical Policy Index

More information

Policy and Procedure. Department: Utilization Management. SNP, CHP, MetroPlus Gold, Goldcare I&II, Market Plus, Essential, HARP

Policy and Procedure. Department: Utilization Management. SNP, CHP, MetroPlus Gold, Goldcare I&II, Market Plus, Essential, HARP Retired Date: Page 1 of 9 1. POLICY DESCRIPTION: BRCA 1&2 Genetic Testing 2. RESPONSIBLE PARTIES: Medical Management Administration, Utilization Management, Integrated Care Management, Pharmacy, Claim

More information

Icd 10 code for breast cancer stage 2

Icd 10 code for breast cancer stage 2 Icd 10 code for breast cancer stage 2 The Borg System is 100 % Icd 10 code for breast cancer stage 2 Approximate Synonyms. Angiosarcoma of bilateral female breasts; Angiosarcoma of left female breast;

More information

Prophylactic Mastectomy

Prophylactic Mastectomy Prophylactic Mastectomy Policy Number: Original Effective Date: MM.06.010 01/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO 08/24/2012 Section: Surgery Place(s) of Service: Inpatient I.

More information

Your Guide to the Breast Cancer Pathology. Report. Key Questions. Here are important questions to be sure you understand, with your doctor s help:

Your Guide to the Breast Cancer Pathology. Report. Key Questions. Here are important questions to be sure you understand, with your doctor s help: Your Guide to the Breast Cancer Pathology Report Key Questions Here are important questions to be sure you understand, with your doctor s help: Your Guide to the Breast Cancer Pathology Report 1. Is this

More information

Non-mass Enhancement on Breast MRI. Aditi A. Desai, MD Margaret Ann Mays, MD

Non-mass Enhancement on Breast MRI. Aditi A. Desai, MD Margaret Ann Mays, MD Non-mass Enhancement on Breast MRI Aditi A. Desai, MD Margaret Ann Mays, MD Breast MRI Important screening and diagnostic tool, given its high sensitivity for breast cancer detection Breast MRI - Indications

More information

BRCA Precertification Information Request Form

BRCA Precertification Information Request Form BRCA Precertification Information Request Form Failure to complete this form in its entirety may result in the delay of review. Fax to: BRCA Precertification Department Fax number: 1-860-975-9126 Section

More information

University of Washington Radiology Review Course: Strange and Specific Diagnoses. Case #1

University of Washington Radiology Review Course: Strange and Specific Diagnoses. Case #1 University of Washington Radiology Review Course: Strange and Specific Diagnoses Katherine E. Dee, MD Seattle Breast Center Via Radiology 2014 Case #1 37 year old presents with bilateral palpable lumps.

More information

A712(18)- Test slide, Breast cancer tissues with corresponding normal tissues

A712(18)- Test slide, Breast cancer tissues with corresponding normal tissues A712(18)- Test slide, Breast cancer tissues with corresponding normal tissues (formalin fixed) For research use only Specifications: No. of cases: 12 Tissue type: Breast cancer tissues with corresponding

More information

Hereditary Breast and Ovarian Cancer Rebecca Sutphen, MD, FACMG

Hereditary Breast and Ovarian Cancer Rebecca Sutphen, MD, FACMG Hereditary Breast and Ovarian Cancer 2015 Rebecca Sutphen, MD, FACMG Among a consecutive series of 11,159 women requesting BRCA testing over one year, 3874 responded to a mailed survey. Most respondents

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Prophylactic Mastectomy Page 1 of 14 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Prophylactic Mastectomy Professional Institutional Original Effective Date:

More information

CLINICAL GUIDELINES. Screening Mammography Guidelines

CLINICAL GUIDELINES. Screening Mammography Guidelines CLINICAL GUIDELINES Screening Mammography Guidelines Paula George, M.D. and C. Todd Cunningham, M.D., Karen F. Goodhope, M.D., Valerie C. Reichert, M.D. Hayley Sheldon, M.D., Michelle Walters, D.O. 2/17/2016

More information

Icd 10 code breast cancer in remission

Icd 10 code breast cancer in remission Icd 10 code breast cancer in remission Search 6-10-2011 I am stumped! I can't seem to find an ICD-9 code for breast cancer in remission. Does anyone know where to look? Thanks! 3-4-2014 ICD-10 Training.

More information

Assessing Your Patient s Breast Cancer Risk: Is Genetic Testing Necessary?

Assessing Your Patient s Breast Cancer Risk: Is Genetic Testing Necessary? May 16, 2016 Assessing Your Patient s Breast Cancer Risk: Is Genetic Testing Necessary? Presenter: Emily Kuchinsky, MS, CGC 1 Experiences with Genetic Testing Adverse Events in Cancer Genetic Testing:

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Risk-Reducing Mastectomy Page 1 of 17 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Risk-Reducing Mastectomy Professional Institutional Original Effective Date:

More information

Breast MRI: Friend or Foe?

Breast MRI: Friend or Foe? Breast MRI: Friend or Foe? UCSF Postgraduate Course May 18, 2013 Cheryl Ewing, MD Clinical Professor of Surgery UCSF Department of Surgery APPLEGATE HAS DOUBLE MASTECTOMY IN CANCER SCARE DIAGNOSED WITH

More information

Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document.

Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. MRI OF THE BREAST Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs

More information

CLINICAL SIGNIFICANCE OF BENIGN EPITHELIAL CHANGES

CLINICAL SIGNIFICANCE OF BENIGN EPITHELIAL CHANGES Papillomas. Papillomas are composed of multiple branching fibrovascular cores, each having a connective tissue axis lined by luminal and myoepithelial cells ( Fig. 23-11 ). Growth occurs within a dilated

More information

Transform genomic data into real-life results

Transform genomic data into real-life results CLINICAL SUMMARY Transform genomic data into real-life results Biomarker testing and targeted therapies can drive improved outcomes in clinical practice New FDA-Approved Broad Companion Diagnostic for

More information

CLINICAL MEDICAL POLICY

CLINICAL MEDICAL POLICY CLINICAL MEDICAL POLICY Policy Name: Faslodex (fulvestrant) Policy Number: MP-044-MD-DE Responsible Department(s): Medical Management; Clinical Pharmacy Provider Notice Date: 10/01/2017 Original Effective

More information

Surgery Choices for Breast Cancer

Surgery Choices for Breast Cancer Surgery Choices for Breast Cancer Surgery Choices for Women with DCIS or Breast Cancer As a woman with DCIS (ductal carcinoma in situ) or breast cancer that can be removed with surgery, you may be able

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association BRCA1 and BRCA2 Testing Page 1 of 26 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: BRCA1 and BRCA2 Testing Pre-Determination of Services IS REQUIRED by the Member

More information

surgery choices For Women with Early-Stage Breast Cancer family EDUCATION PATIENT

surgery choices For Women with Early-Stage Breast Cancer family EDUCATION PATIENT surgery choices For Women with Early-Stage Breast Cancer PATIENT & family EDUCATION U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health National Cancer Institute As a woman with

More information

Breast Cancer Imaging

Breast Cancer Imaging Breast Cancer Imaging I. Policy University Health Alliance (UHA) will cover breast imaging when such services meet the medical criteria guidelines (subject to limitations and exclusions) indicated below.

More information

Pathology Report Patient Companion Guide

Pathology Report Patient Companion Guide Pathology Report Patient Companion Guide Breast Cancer - Understanding Your Pathology Report Pathology Reports can be overwhelming. They contain scientific terms that are unfamiliar and might be a bit

More information

AllinaHealthSystems 1

AllinaHealthSystems 1 Overview Biology and Introduction to the Genetics of Cancer Denise Jones, MS, CGC Certified Genetic Counselor Virginia Piper Cancer Service Line I. Our understanding of cancer the historical perspective

More information

BRCAplus. genetic testing for hereditary breast cancer

BRCAplus. genetic testing for hereditary breast cancer BRCAplus genetic testing for hereditary breast cancer Developed in collaboration with Fox Chase Cancer Center and the Arcadia University Genetic Counseling Program. Causes of Hereditary Breast Cancer familial

More information

Applications of IHC. Determination of the primary site in metastatic tumors of unknown origin

Applications of IHC. Determination of the primary site in metastatic tumors of unknown origin Applications of IHC Determination of the primary site in metastatic tumors of unknown origin Classification of tumors that appear 'undifferentiated' by standard light microscopy Precise classification

More information

Applies to: All Aetna plans, except Traditional Choice plans. All Innovation Health plans, except indemnity plans

Applies to: All Aetna plans, except Traditional Choice plans. All Innovation Health plans, except indemnity plans BRCA Precertification Information Request Form Applies to: All Aetna plans, except Traditional Choice plans All Innovation Health plans, except indemnity plans All Health benefits and health insurance

More information

Case #1: 75 y/o Male (treated and followed by prostate cancer oncology specialist ).

Case #1: 75 y/o Male (treated and followed by prostate cancer oncology specialist ). SOLID TUMORS WORKSHOP Cases for review Prostate Cancer Case #1: 75 y/o Male (treated and followed by prostate cancer oncology specialist ). January 2009 PSA 4.4, 20% free; August 2009 PSA 5.2; Sept 2009

More information

27

27 26 27 28 29 30 31 32 33 34 35 Diagnosis:? Diagnosis: Juvenile Polyposis with BMPR1A Mutation 36 Juvenile Polyposis Syndrome Rare Autosomal Dominant Disorder with Multiple Juvenile Polyps in GI Tract Juvenile

More information

BAYLOR SCOTT & WHITE HEALTH GENETICS QUESTIONNAIRE PATIENT INFORMATION

BAYLOR SCOTT & WHITE HEALTH GENETICS QUESTIONNAIRE PATIENT INFORMATION PATIENT INFORMATION Name: Address: (Last) (First) (Middle) (Street) (City) (State) (Zip) Home Phone: Cell Phone: Email Address: Birth Date: Age: When is the best time to contact you? May we email you for

More information

So how much of breast and ovarian cancer is hereditary? A). 5 to 10 percent. B). 20 to 30 percent. C). 50 percent. Or D). 65 to 70 percent.

So how much of breast and ovarian cancer is hereditary? A). 5 to 10 percent. B). 20 to 30 percent. C). 50 percent. Or D). 65 to 70 percent. Welcome. My name is Amanda Brandt. I am one of the Cancer Genetic Counselors at the University of Texas MD Anderson Cancer Center. Today, we are going to be discussing how to identify patients at high

More information

Breast Cancer. Dr. Andres Wiernik 2017

Breast Cancer. Dr. Andres Wiernik 2017 Breast Cancer Dr. Andres Wiernik 2017 Agenda: The Facts! (Epidemiology/Risk Factors) Biological Classification/Phenotypes of Breast Cancer Treatment approach Local Systemic Agenda: The Facts! (Epidemiology/Risk

More information

See Important Reminder at the end of this policy for important regulatory and legal information.

See Important Reminder at the end of this policy for important regulatory and legal information. Clinical Policy: (Abraxane) Reference Number: CP.PHAR.176 Effective Date: 07.01.15 Last Review Date: 05.18 Line of Business: HIM, Medicaid Coding Implications Revision Log See Important Reminder at the

More information

Screening Mammography: The Controversy, Risk Assessment and Individualized Screening recommendations. Jonathan T. Sims MD, MBA

Screening Mammography: The Controversy, Risk Assessment and Individualized Screening recommendations. Jonathan T. Sims MD, MBA Screening Mammography: The Controversy, Risk Assessment and Individualized Screening recommendations. Jonathan T. Sims MD, MBA I have no relevant Financial Disclosures Agenda Discuss the recent studies

More information

Case Scenario 1 History and Physical 3/15/13 Imaging Pathology

Case Scenario 1 History and Physical 3/15/13 Imaging Pathology Case Scenario 1 History and Physical 3/15/13 The patient is an 84 year old white female who presented with an abnormal mammogram. The patient has a five year history of refractory anemia with ringed sideroblasts

More information

Personal history of breast lumpectomy icd 10

Personal history of breast lumpectomy icd 10 Personal history of breast lumpectomy icd 10 The Borg System is 100 % Personal history of breast lumpectomy icd 10 View Test Prep - All Exams Master Doc name removed.docx from AAPC ICD10 at American Academy

More information

Oncology 101. Cancer Basics

Oncology 101. Cancer Basics Oncology 101 Cancer Basics What Will You Learn? What is Cancer and How Does It Develop? Cancer Diagnosis and Staging Cancer Treatment What is Cancer? Cancer is a group of more than 100 different diseases

More information

Genetic Risk Assessment for Cancer

Genetic Risk Assessment for Cancer Genetic Risk Assessment for Cancer Jennifer Siettmann, MS CGC Certified Genetic Counselor/Cancer Risk Counselor Banner Good Samaritan Cancer Screening & Prevention Program Objectives Describe the role

More information

Diseases of the breast (2 of 2) Breast cancer

Diseases of the breast (2 of 2) Breast cancer Diseases of the breast (2 of 2) Breast cancer Epidemiology & etiology The most common type of cancer & the 2 nd most common cause of cancer death in women 1 of 8 women in USA Affects 7% of women Peak at

More information

MEDICAL POLICY. SUBJECT: MOLECULAR PANEL TESTING OF CANCERS TO IDENTIFY TARGETED THERAPIES (Excluding NSCLC and CRC) EFFECTIVE DATE: 12/21/17

MEDICAL POLICY. SUBJECT: MOLECULAR PANEL TESTING OF CANCERS TO IDENTIFY TARGETED THERAPIES (Excluding NSCLC and CRC) EFFECTIVE DATE: 12/21/17 MEDICAL POLICY SUBJECT: MOLECULAR PANEL TESTING OF PAGE: 1 OF: 5 If a product excludes coverage for a service, it is not covered, and medical policy criteria do not apply. If a commercial product, including

More information

Breast Cancer. For breast cancer, the mortality risk varies with the stage of the cancer.

Breast Cancer. For breast cancer, the mortality risk varies with the stage of the cancer. CREATED EXCLUSIVELY FOR FINANCIAL PROFESSIONALS Rx FOR SUCCESS Breast Cancer Breast cancer is the most common cancer in women in the United States and second only to lung cancer as a cause of cancer deaths.

More information

Prophylactic Mastectomy

Prophylactic Mastectomy Prophylactic Mastectomy Policy Number: Original Effective Date: MM.06.010 01/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 12/01/2013 Section: Surgery Place(s) of Service:

More information

Tarceva. Tarceva (erlotinib) Description

Tarceva. Tarceva (erlotinib) Description Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.82 Subject: Tarceva Page: 1 of 5 Last Review Date: June 22, 2018 Tarceva Description Tarceva (erlotinib)

More information

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p.

Chapter 2 Neoplasms C00-D49 November 11, Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. Chapter 2: Neoplasms Category: C00-D49 Official Coding Guidelines: Section 1.C.2, p. 22 1 C00 C75 Malignant neoplasms, stated or presumed to be primary, of specified sites, except of lymphoid, hematopoietic

More information

Minimizing Errors in Diagnostic Pathology

Minimizing Errors in Diagnostic Pathology Shahla Masood, M.D. Professor and Chair Department of Pathology and Laboratory Medicine University of Florida College of Medicine-Jacksonville Medical Director, Shands Jacksonville Breast Health Center

More information

Carcinoembryonic Antigen

Carcinoembryonic Antigen Other Names/Abbreviations CEA 190.26 - Carcinoembryonic Antigen Carcinoembryonic antigen (CEA) is a protein polysaccharide found in some carcinomas. It is effective as a biochemical marker for monitoring

More information

Medical Policy An independent licensee of the Blue Cross Blue Shield Association

Medical Policy An independent licensee of the Blue Cross Blue Shield Association Surgical Treatment of Gynecomastia Page 1 of 6 Medical Policy An independent licensee of the Blue Cross Blue Shield Association Title: Surgical Treatment of Gynecomastia Professional Institutional Original

More information

Icd 10 code for history left breast cancer in remission

Icd 10 code for history left breast cancer in remission Icd 10 code for history left breast cancer in remission Gogamz Menu This extremely helpful guide, called the Fatty Liver Diet Guide is an ebook that deals with every aspect and ramification of being diagnosed

More information

Basement membrane in lobule.

Basement membrane in lobule. Bahram Memar, MD Basement membrane in lobule. Normal lobule-luteal phase Normal lobule-follicular phase Lactating breast Greater than 95% are adenocarcinomas in situ carcinomas and invasive carcinomas.

More information

Breast Cancer. Most common cancer among women in the US. 2nd leading cause of death in women. Mortality rates though have declined

Breast Cancer. Most common cancer among women in the US. 2nd leading cause of death in women. Mortality rates though have declined Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women Mortality rates though have declined 1 in 8 women will develop breast cancer Breast Cancer Breast cancer increases

More information

LYNPARZA (olaparib) oral capsule and tablet

LYNPARZA (olaparib) oral capsule and tablet LYNPARZA (olaparib) oral capsule and tablet Coverage for services, procedures, medical devices and drugs are dependent upon benefit eligibility as outlined in the member's specific benefit plan. This Pharmacy

More information

Ductal Carcinoma-in-Situ: New Concepts and Controversies

Ductal Carcinoma-in-Situ: New Concepts and Controversies Ductal Carcinoma-in-Situ: New Concepts and Controversies James J. Stark, MD, FACP Medical Director, Cancer Program and Palliative Care Maryview Medical Center Professor of Medicine, EVMS Case Presentation

More information

CLINICAL MEDICAL POLICY

CLINICAL MEDICAL POLICY Policy Name: Policy Number: Responsible Department(s): CLINICAL MEDICAL POLICY BRCA1 and BRCA2 Genetic Mutation Testing and Related Genetic Counseling MP-011-MD-DE Medical Management Provider Notice Date:

More information

BREAST PATHOLOGY. Fibrocystic Changes

BREAST PATHOLOGY. Fibrocystic Changes BREAST PATHOLOGY Lesions of the breast are very common, and they present as palpable, sometimes painful, nodules or masses. Most of these lesions are benign. Breast cancer is the 2 nd most common cause

More information

CMS Limitations Guide Mammography & Bone Mass Measurement

CMS Limitations Guide Mammography & Bone Mass Measurement Starting October 1, 2015, CMS will update their existing medical necessity limitations on tests and procedures to correspond to ICD-10 codes. This limitations guide provides you with the latest changes.

More information

Case study 1. Rie Horii, M.D., Ph.D. Division of Pathology Cancer Institute Hospital, Japanese Foundation for Cancer Research

Case study 1. Rie Horii, M.D., Ph.D. Division of Pathology Cancer Institute Hospital, Japanese Foundation for Cancer Research NCCN/JCCNB Seminar in Japan April 15, 2012 Case study 1 Rie Horii, M.D., Ph.D. Division of Pathology Cancer Institute Hospital, Japanese Foundation for Cancer Research Present illness: A 50y.o.premenopausal

More information

A superficial radiotherapy B single pass curettage C excision with 2 mm margins D excision with 5 mm margins E Mohs micrographic surgery.

A superficial radiotherapy B single pass curettage C excision with 2 mm margins D excision with 5 mm margins E Mohs micrographic surgery. 1- A 63-year-old woman presents with a non-healing lesion on her right temple that has been present for over two years. On examination there is a 6 mm well defined lesion with central ulceration, telangiectasia

More information

GeneHealth BreastGene_New qxp_Layout 1 21/02/ :42 Page 3 BreastGene GeneHealth UK

GeneHealth BreastGene_New qxp_Layout 1 21/02/ :42 Page 3 BreastGene GeneHealth UK GeneHealth BreastGene_New 8.2.17.qxp_Layout 1 21/02/2017 16:42 Page 3 BreastGene GeneHealth UK BreastGene What is hereditary breast cancer? Breast cancer is the most common cancer in the UK. Unfortunately

More information

Breast Cancer. Common kinds of breast cancer are

Breast Cancer. Common kinds of breast cancer are Breast Cancer A breast is made up of three main parts: glands, ducts, and connective tissue. The glands produce milk. The ducts are passages that carry milk to the nipple. The connective tissue (which

More information

Evaluation & Management of PowerPoint Cover Title. the High Risk Population. High Risk Clinic

Evaluation & Management of PowerPoint Cover Title. the High Risk Population. High Risk Clinic Evaluation & Management of PowerPoint Cover Title the High Risk Population High Risk Clinic Subtitle Joanna Would Springman, Go Here PA-C Assessment Genetics Known genetic mutation Family history with

More information

Prophylactic Mastectomy

Prophylactic Mastectomy Prophylactic Mastectomy Policy Number: Original Effective Date: MM.06.010 01/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO; QUEST Integration 09/01/2015 Section: Surgery Place(s) of Service:

More information

What is the recommended regimen for adjuvant radiation therapy? Tata Memorial Centre s opinion is summarized as follows:

What is the recommended regimen for adjuvant radiation therapy? Tata Memorial Centre s opinion is summarized as follows: February 3 rd 2015 Dear Ms., Thank you for reaching out to Tata Memorial Centre for an expert opinion in regard to assessing your treatment options. Navya Network is pleased to offer this online consultation

More information

What is Cancer? Petra Ketterl, MD Medical Oncology and Functional Medicine

What is Cancer? Petra Ketterl, MD Medical Oncology and Functional Medicine What is Cancer? Petra Ketterl, MD Medical Oncology and Functional Medicine What is Cancer? Layman s terms: cancer starts when cells grow out of control (in any place in the body) and crowd out normal cells

More information

Home Health ICD-9-CM Coding Answers, Neoplasm Scenarios. S Copyñght 2013 DecisionHeafth 21

Home Health ICD-9-CM Coding Answers, Neoplasm Scenarios. S Copyñght 2013 DecisionHeafth 21 Home Health CD-9-CM Coding Answers, 201 Neoplasm Scenarios S Copyñght 2013 DecisionHeafth 21 a a a a aaaaaa - - - Home Health CD-9-CM Coding Answers, 201 Scenario 8 Patient with a personal history of breast

More information

Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node

Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node Lesion Imaging Characteristics Mass, Favoring Benign Circumscribed Margins Intramammary Lymph Node Oil Cyst Mass, Intermediate Concern Microlobulated Margins Obscured Margins Mass, Favoring Malignant Indistinct

More information

Prophylactic Mastectomy

Prophylactic Mastectomy Prophylactic Mastectomy Policy Number: Original Effective Date: MM.06.010 01/01/2009 Line(s) of Business: Current Effective Date: HMO; PPO 07/22/2011 Section: Surgery Place(s) of Service: Inpatient I.

More information

Breast Cancer Task Force of the Greater Miami Valley A collaborative effort of health care professionals and breast cancer survivors in the Greater

Breast Cancer Task Force of the Greater Miami Valley A collaborative effort of health care professionals and breast cancer survivors in the Greater Breast Cancer Task Force of the Greater Miami Valley A collaborative effort of health care professionals and breast cancer survivors in the Greater Dayton Area Last Updated Fall 2014 TABLE OF CONTENTS

More information

Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 2: Breast Cancer

Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 2: Breast Cancer Wellness Along the Cancer Journey: Cancer Types Revised October 2015 Chapter 2: Breast Cancer Cancer Types Rev. 10.20.15 Page 19 Breast Cancer Group Discussion True False Not Sure 1. Breast cancer is not

More information

Image guided core biopsies:

Image guided core biopsies: Recommendations on the Surgical, Radiologic and Pathologic Approaches to Breast Disease: Using best practices based on multidisciplinary methodologies developed through the Allina Breast Committee. Image

More information

Primary Care Approach to Genetic Cancer Syndromes

Primary Care Approach to Genetic Cancer Syndromes Primary Care Approach to Genetic Cancer Syndromes Jason M. Goldman, MD, FACP FAU School of Medicine Syndromes Hereditary Breast and Ovarian Cancer (HBOC) Hereditary Nonpolyposis Colorectal Cancer (HNPCC)

More information

Breast Cancer. Excess Estrogen Exposure. Alcohol use + Pytoestrogens? Abortion. Infertility treatment?

Breast Cancer. Excess Estrogen Exposure. Alcohol use + Pytoestrogens? Abortion. Infertility treatment? Breast Cancer Breast Cancer Excess Estrogen Exposure Nulliparity or late pregnancy + Early menarche + Late menopause + Cystic ovarian disease + External estrogens exposure + Breast Cancer Excess Estrogen

More information

REPORTABLE CASES MISSISSIPPI For cases diagnosed 10/1/2015 and after

REPORTABLE CASES MISSISSIPPI For cases diagnosed 10/1/2015 and after REPORTABLE CASES MISSISSIPPI For cases diagnosed 10/1/2015 and after The following lists are intended to assist you, as the reporter, in identifying the reportable neoplasms for your facility. Any reportable

More information

Kimberly Rohan ANP-BC, AOCN Nurse Practitioner Edward Cancer Center

Kimberly Rohan ANP-BC, AOCN Nurse Practitioner Edward Cancer Center Kimberly Rohan ANP-BC, AOCN Nurse Practitioner Edward Cancer Center Objective The nurse will be able to explain biomarkers and their implications to patient s prescribed treatment plan Biomarkers Use in

More information

A712(19)- Test slide, Breast cancer tissues with corresponding normal tissues

A712(19)- Test slide, Breast cancer tissues with corresponding normal tissues A712(19)- Test slide, Breast cancer tissues with corresponding normal tissues (formalin fixed) For research use only Specifications: No. of cases: 12 Tissue type: Breast cancer tissues with corresponding

More information

Surgical Therapy: Sentinel Node Biopsy and Breast Conservation

Surgical Therapy: Sentinel Node Biopsy and Breast Conservation Surgical Therapy: Sentinel Node Biopsy and Breast Conservation Stephen B. Edge, MD Professor of Surgery and Oncology Roswell Park Cancer Institute University at Buffalo Dr. Roswell Park: Tradition in Cancer

More information

Maram Abdaljaleel, MD Dermatopathologist and Neuropathologist University of Jordan, School of Medicine

Maram Abdaljaleel, MD Dermatopathologist and Neuropathologist University of Jordan, School of Medicine Maram Abdaljaleel, MD Dermatopathologist and Neuropathologist University of Jordan, School of Medicine The most common non-skin malignancy of women 2 nd most common cause of cancer deaths in women, following

More information

Outline. Identifying your risk for hereditary breast or ovarian cancer. Genetics 101. What causes cancer? Genetics

Outline. Identifying your risk for hereditary breast or ovarian cancer. Genetics 101. What causes cancer? Genetics Identifying your risk for hereditary breast or ovarian cancer David Andorsky, MD Breanna Roscow, MS, CGC 303-993-0161 Outline Genetics and biology of hereditary cancer syndromes BRCA1 and BRCA2 Genetic

More information

Update: Top Ten Cancers. David C. Dale, MD Professor of Medicine University of Washington

Update: Top Ten Cancers. David C. Dale, MD Professor of Medicine University of Washington Update: Top Ten Cancers David C. Dale, MD Professor of Medicine University of Washington Common Cancers-USA Type New Cases Deaths 1. Breast 232,000 40,000 2. Lung 221,000 158,000 3. Prostate 220,000 28,000

More information

Screening Mammograms: Questions and Answers

Screening Mammograms: Questions and Answers CANCER FACTS N a t i o n a l C a n c e r I n s t i t u t e N a t i o n a l I n s t i t u t e s o f H e a l t h D e p a r t m e n t o f H e a l t h a n d H u m a n S e r v i c e s Screening Mammograms:

More information

Policy Specific Section: Medical Necessity and Investigational / Experimental. October 15, 1997 October 9, 2013

Policy Specific Section: Medical Necessity and Investigational / Experimental. October 15, 1997 October 9, 2013 Medical Policy Genetic Testing for Hereditary Breast and/or Ovarian Cancer Type: Medical Necessity and Investigational / Experimental Policy Specific Section: Laboratory/Pathology Original Policy Date:

More information

Breast Cancer. Saima Saeed MD

Breast Cancer. Saima Saeed MD Breast Cancer Saima Saeed MD Breast Cancer Most common cancer among women in the US 2nd leading cause of death in women 1 in 8 women will develop breast cancer Incidence/mortality rates have declined Breast

More information

Case Scenario 1: This case has been slightly modified from the case presented during the live session to add clarity.

Case Scenario 1: This case has been slightly modified from the case presented during the live session to add clarity. Case Scenario 1: This case has been slightly modified from the case presented during the live session to add clarity. Background: 46 year old married premenopausal female with dense breasts has noticed

More information

Early Cancer Care FAQ

Early Cancer Care FAQ If you need more information, you can call 6722 2293 (Mon-Fri, 9am-5pm), email our Financial Protection Specialists at financial2@ocbc.com or visit any of our OCBC branches. Q1. What is this Early Cancer

More information

Presented by: Lillian Erdahl, MD

Presented by: Lillian Erdahl, MD Presented by: Lillian Erdahl, MD Learning Objectives What is Breast Cancer Types of Breast Cancer Risk Factors Warning Signs Diagnosis Treatment Options Prognosis What is Breast Cancer? A disease that

More information

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY

POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT VARIATIONS DISCLAIMER CODING INFORMATION REFERENCES POLICY HISTORY Original Issue Date (Created): July 26, 2011 Most Recent Review Date (Revised): March 25, 2014 Effective Date: June 1, 2014 POLICY PRODUCT VARIATIONS DESCRIPTION/BACKGROUND RATIONALE DEFINITIONS BENEFIT

More information

One Breast Cancer Annual Report

One Breast Cancer Annual Report One 2015 Breast Cancer Annual Report One OVERVIEW The Breast Program at Carolinas HealthCare System s Levine Cancer Institute, offers comprehensive care. Patients with benign and malignant disease of the

More information

GENETIC TESTING FOR TARGETED THERAPY FOR NON-SMALL CELL LUNG CANCER (NSCLC)

GENETIC TESTING FOR TARGETED THERAPY FOR NON-SMALL CELL LUNG CANCER (NSCLC) CANCER (NSCLC) Non-Discrimination Statement and Multi-Language Interpreter Services information are located at the end of this document. Coverage for services, procedures, medical devices and drugs are

More information

Types of Breast Cancer

Types of Breast Cancer IOWA RADIOLOGY 1 Types of Breast Cancer 515-226-9810 Ankeny Clive Downtown Des Moines IOWA RADIOLOGY 1 Table of Contents Introduction... 1 Ductal Carcinoma... 2 Paget s Disease of the Nipple... 8 Lobular

More information

CEA (CARCINOEMBRYONIC ANTIGEN)

CEA (CARCINOEMBRYONIC ANTIGEN) (CARCINOEMBRYONIC ANTIGEN) 428 C15.3 Malignant neoplasm of upper third of esophagus C15.4 Malignant neoplasm of middle third of esophagus C15.5 Malignant neoplasm of lower third of esophagus C15.8 Malignant

More information

Barriers to Understanding

Barriers to Understanding Behind the Scenes: The Critical Importance of Cancer Cell Pathology and the Pathologist Sherry T. Emery, M.D., Chief of Pathology Northeast Health System Barriers to Understanding Questions for 2010 What

More information

Breast Cancer Risk Assessment: Genetics, Risk Models, and Screening. Amie Hass, MSN, ARNP, FNP-BC Hall-Perrine Cancer Center

Breast Cancer Risk Assessment: Genetics, Risk Models, and Screening. Amie Hass, MSN, ARNP, FNP-BC Hall-Perrine Cancer Center Breast Cancer Risk Assessment: Genetics, Risk Models, and Screening Amie Hass, MSN, ARNP, FNP-BC Hall-Perrine Cancer Center Disclosure- I DO NOT HAVE any relevant financial interest with any entity producing,

More information

Anaplastic A term used to describe cancer cells that divide rapidly and have little or no resemblance to normal cells.

Anaplastic A term used to describe cancer cells that divide rapidly and have little or no resemblance to normal cells. Oncology Terminology A Adenocarcinoma A cancerous tumor that arises in or resembles glandular tissue. Adjunct agent In cancer therapy, a drug or substance used in addition to the primary therapy. Adjuvant

More information