Personal history of malignant neoplasm of bladder

This code indicates that a patient has a past medical history of bladder cancer that has been successfully treated and is currently in remission. It signifies that the patient no longer has active bladder malignancy but requires ongoing surveillance due to their prior diagnosis.

This code is used when a patient presents for follow-up care, surveillance, or treatment of unrelated conditions, and their medical record indicates a documented history of bladder cancer that is no longer active. It is appropriate for patients who have completed definitive treatment (e.g., surgery, chemotherapy, radiation) and are considered disease-free at the time of the encounter.

• Always sequence this code after any codes for active conditions or reasons for the current encounter.
• Do not use this code if the patient has active, recurrent, or metastatic bladder cancer; instead, use the appropriate C-series codes.
• Ensure documentation clearly states "history of" or "personal history of" bladder cancer and confirms the absence of current disease.