If a patient has had a malignancy removed and no further treatment is needed, how is this situation coded?

When coding for a patient who has had a malignancy removed and requires no further treatment, the appropriate coding is to classify this as "History." This is because the malignancy was previously diagnosed and treated, but as of now, the patient is not undergoing any active treatment, indicating a resolved status.

In medical coding, history codes are utilized to document past conditions that are relevant to the current health status of the patient without implying ongoing treatment or management. This distinction is important for ensuring accurate medical records and proper insurance billing.

Using "History" provides clear information to healthcare providers that while the patient's past malignancy is significant, it is no longer an active concern affecting their current health status. It allows for the acknowledgment of the patient's previous condition without implying that it is still a problem requiring further intervention.