Genetic testing for a patient with a personal history of breast cancer revealed a high risk for ovarian cancer. She is scheduled to have a total vaginal hysterectomy and bilateral oophorectomy as a precautionary measure. Which diagnosis do I use? She has no signs or symptoms.
A
Use V50.49 (other prophylactic organ removal), V50.42 (prophylactic organ removal of ovary), and V10.3 (personal history of breast cancer). If you are obtaining prior authorization, submit a letter with the request in which you list these codes as the reason for the surgery and explain the circumstances.
