Unspecified or Uncertain Behavior

Unspecified or Uncertain Behavior

January 9, 2020

My provider insists on calling some lesions uncertain behavior because he is suspicious of cancer. This is before the pathologist has given a report. Should these be coded as uncertain behavior or unspecified?

Uncertain behavior is a diagnosis that should only be assigned by a pathologist (with a path report). Unspecified would be the correct diagnosis for this lesion if no pathological diagnosis of uncertain behavior has been made.

*This response is based on the best information available as of 1/9/20.

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