Hemangioblastoma cervical

por amaral bernardo Ter 25 Jun 2019, 06:57

"Como codificar hemangioblastoma cervical?
D33.4 atendendo a que se trata de lesão benigna
ou
D18.09 que me parece muito inespecífico?"

Procurando no índice alfabético obtemos a instrução para codificar um hemangioblastoma (não especificado como benigno ou malingo) como de comportamento incerto:

Hemangioblastoma - see Neoplasm, connective tissue, uncertain behavior
- malignant - see Neoplasm, connective tissue, malignant

Neoplasm
- connective tissue NEC
- - Note: For neoplasms of connective tissue(blood vessel, bursa, fascia, ligament, muscle,peripheral nerves, sympathetic and parasympathetic nerves and ganglia, synovia,tendon, etc.) or of morphological types that indicate connective tissue, code according to the list under "Neoplasm, connective tissue". For sites that do not appear in this list, code to neoplasm of that site; e.g., fibrosarcoma, pancreas (C25.9)

D48 Neoplasm of uncertain behavior of other and unspecified sites
Excludes1:
neurofibromatosis (nonmalignant) (Q85.0-)
...
D48.1 Neoplasm of uncertain behavior of connective and other soft tissue
Neoplasm of uncertain behavior of connective tissue of ear
Neoplasm of uncertain behavior of connective tissue of eyelid
Stromal tumors of uncertain behavior of digestive system
Excludes1:
neoplasm of uncertain behavior of articular cartilage (D48.0)
neoplasm of uncertain behavior of cartilage of larynx (D38.0)
neoplasm of uncertain behavior of cartilage of nose (D38.5)
neoplasm of uncertain behavior of connective tissue of breast (D48.6-)

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Seg	Ter	Qua	Qui	Sex	Sáb	Dom
				1	2	3
4	5	6	7	8	9	10
11	12	13	14	15	16	17
18	19	20	21	22	23	24
25	26	27	28	29	30