Alicia: Back to Basics – This is something I’m really excited that we’re going to implement is this Back to Basics especially since we got so many new people and on credentials, they’re working on being coders or think they might be interested in coding and are coming to the webinars.
One of the questions we get a lot is:
Q: How do I know the difference between a benign and malignant lesion?
A: What is kind of interesting about this – for me is, I really like the diagnosis coding, but there’s so many fascinating things around lesions. One of the things, when you’re going to code a lesion that they want to know: is it malignant, is it benign, is it cancer in situ (which we described in previous lectures)? Now, Chapter 2 is all about neoplasms in your ICD-9 manual and here are some pictures of different types of lesions.
Laureen: Looks like a quilt.
Alicia: I know! I could have made it a little bit bigger, but I didn’t want to… some people are super sensitive. But really, this is exactly what they do – if you have a spot and it looks like any one of these and those are numbered. Yes, you probably need to go have it checked out.
Let’s talk about what benign is: A benign neoplasm is one that is not growing excessively and it’s not really taking over the surrounding area, it’s not as destructive. But, because it’s there, it’s not normal; so, it is causing problems and they usually want to have it removed.
They say: A benign neoplasm of the breast is most often the first detected as a small lump below the surface of the skin and you’re going to want to code to, like, the fourth digit for a benign tumor of the breast regardless of the location or gender of the patient.
That’s just an example since so many are familiar with breast cancer, and often they’ll go in, they’ll feel something and get it checked or may see a spot and it could be benign.
Medical Coding Basics | Benign vs Malignant Lesion – Video
Now, let’s talk about what malignant is: Malignant is a term that is used in the medical field to describe several different things, not just cancer. But what is the heads-up about malignant is that it’s always progressive, it’s always taking over something, and it’s usually always invasive.
One of the ways they use the term malignant is about hypertension. So, tending to be severe and becoming progressively worse is a malignant hypertension – that’s another thing that you’ll hear about that. But in regard to the tumor, it’s going to be, like I said, invasive, it’s going to destroy the nearby tissues – unlike the benign – and it’s going to spread (and that term is called “metastasized”) to other parts of the body. Benign doesn’t really do that. So, that is why malignant is such a bad thing when you’re talking about spots and cancers and tumors.
Now, I thought this was interesting when I found it in the description about the Latin combination of “mal” – if you know Spanish, that’s derived from, the Latin – meaning “bad” and “nascor” meaning “to be born”; malignant literally means “born to be bad”