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General Surgery Coding Alert

General Surgery Coding:

Interpret These Op Notes for ‘Wide Excision’

Published on Wed Oct 30, 2024

Question: In the operation report I’m currently coding, the surgeon has characterized the breast procedure as a “wide excision.” The document refers to the excision of a margin, but there’s no mention of lymph nodes. I’m trying to determine whether this is a biopsy, mastectomy, or another type of procedure. I would also appreciate guidance on the appropriate code to use [...]
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