Wiki completion of mastectomy

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cpccoder2008

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A patient had a right side lumpectomy with complete axillary lymph node dissection in 2009. Today the doctor states he performed the completion of the right side mastectomy. She also had a Left side Total Mastectomy with SLN BX. I am told to use 19303-50 and 38500 RT but i do not agree, can someone please help. Thanks
 
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I would code it as 19303-50 for bilateral mastectomy and 38500 for SLN bx. If it's deep SLN then I would code 38525.
 
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