How should a malignant neoplasm (excluding skin and lip) be classified?

Malignant neoplasms, excluding skin and lip cancers, are classified as "Forever/ALLS" because they are significant, chronic diseases that generally require long-term management even after treatment. This classification reflects the understanding that once a patient has been diagnosed with a malignant neoplasm, it carries a risk of recurrence or long-term effects, meaning it will often remain a part of their medical history.

This classification is essential for risk adjustment purposes, as it influences healthcare providers' reimbursement and quality measures. Understanding that malignant neoplasms are viewed as ongoing conditions helps ensure that patients receive appropriate care over time and that their chronic disease status is accurately reflected in coding practices, thus influencing their overall health management strategies.

In contrast, other classifications such as those for temporary conditions or merely chronic conditions without the 'Forever/ALLS' designation do not adequately capture the ongoing nature and potential chronic implications associated with malignant neoplasms.