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According to the ICD-10 guidelines Section I.C.2.m, when a primary malignancy has been excised but further treatment, such as additional surgery for the malignancy, radiation therapy, or chemotherapy is directed to that site, the primary malignancy code should be used until treatment is complete. Therefore, since the patient is still receiving BCG, in this case, you should use the bladder cancer diagnosis, not the personal history code

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