Hormone recept pos w hmn epdrml grth fctr recept 2 pos stat

This code indicates a specific type of breast cancer characterized by the presence of both estrogen/progesterone receptors (hormone receptor positive) and overexpression of the HER2 protein (human epidermal growth factor receptor 2 positive). This dual positivity has significant implications for treatment planning and prognosis.

Use this code when documentation clearly states that a patient's tumor is both hormone receptor positive (e.g., ER+/PR+) and HER2 positive. This is typically determined through immunohistochemistry (IHC) and/or fluorescence in situ hybridization (FISH) testing on biopsy or surgical specimens.

• Ensure documentation explicitly states both "hormone receptor positive" (or ER/PR positive) and "HER2 positive."
• Do not use this code if only one of the receptor statuses is positive; there are separate codes for those scenarios.
• This code is for the status of the receptors, not the primary malignancy itself. It should be used as a secondary diagnosis following the appropriate code for the malignant neoplasm of the breast.