Wiki Complete mastectomy following partial

[AMBarber]

The patient had 2 partial mastectomies, after each partial the margins were not clear and ultimately the decision was made to do the total mastectomy.

Can you bill a complete simple complete mastectomy after the patient has had 2 partial mastectomies on the same breast? Or would you bill another partial?

Any advice? Thoughts?

Anna Barber, CPC CEMC
AH/SM Medical Group
Medical Practice Auditor

 

[rceron]

you can bill the total mastectomy 19303 if procedure was done same day, chances are that partial are not paid by insurance, if done afterwards bill same with mod 58.