Revenue Cycle Insider

Oncology Coding:

Use Two Claim Lines in This Bilateral Mastectomy Scenario

Question: We recently had a patient come in for a bilateral mastectomy. The left breast had cancer, and surgeons performed a prophylactic removal on the right breast. The CPTÒ code we used was 19303 with diagnosis codes C50.912 and Z40.01. We also used modifier 50 to show that this was a bilateral procedure. The insurance company is denying it, stating [...]
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