N39.3 - Stress incontinence (female) (male)

Clinical Definition

Malignant neoplasm of bronchus and lung (C34) refers to cancerous growths originating in the respiratory tract tissues of the bronchi or lung parenchyma. This includes both primary lung cancers and those that have spread within the lung structures.

Documentation Requirements

• Laterality

  • Right lung

  • Left lung

  • Bilateral involvement

  • Must specify if overlapping sites

• Anatomical Location

  • Main bronchus

  • Upper lobe

  • Middle lobe (right lung only)

  • Lower lobe

  • Overlapping lesion

• Morphology

  • Cell type (adenocarcinoma, squamous cell, small cell, etc.)

  • Primary vs secondary

  • Stage of cancer (TNM classification)

• Treatment Status

  • Initial encounter

  • Subsequent encounter

  • Active treatment

  • Surveillance

Common Synonyms

• Lung cancer

• Bronchogenic carcinoma

• Primary pulmonary malignancy

• Bronchial cancer

• Lung tumor

Coding Conflicts

• Excludes1: Kaposi's sarcoma of lung (C46.5-)

• Excludes1: Malignant neoplasm of heart (C38.0)

• Excludes2: Secondary malignant neoplasm of lung (C78.0-)

Scribing.io Automation

AI scribe automatically identifies:

• Keywords indicating cancer location ("right upper lobe mass")

• Histological terms ("adenocarcinoma", "squamous cell")

• TNM staging documentation

• Treatment phases ("post-surgical", "under chemotherapy")

• Follow-up status ("surveillance", "active treatment")

The system flags incomplete documentation when laterality or specific location is missing, prompting providers for necessary specificity.