Wiki MASTECTOMY

[Vanessa863]

I NEED SOME HELP IM DEBATING WHICH CODE TO USE 19300 OR 19303

PREOP :RIGHT BREAST LUMP
PROCEDURE PERFORMED : RIGHT BREAST SUBCUTANEOUS MASTECTOMY
DESCRIPTION: A TRANSVERSE INCISION WERE MADE AROUND THE AREOLA INFERIOR ASPECT WAS PERFORMED . THE SUBCUTANEOUS TISSUES WERE TAKEN DOWN WITH BOVIE ELECTROCAUTERY I LIFTED THE NIPPLE UP AND THEN THE ENTIRE CIRCUMFRANCE OF THIS ENTIRE BREAST MASSS WAS RESECTED ALL THE WAY TO THE FASCIA. PECTORAILS MUSCLE WAS RESECTED .THE ENTIRE MASS WAS 8X8 CM. AREA WAS IRRIGATED AND DRAINED. HEMOSTASIS WAS ACHIEVED WITH ELECTRO CAUTERY AND CLOSED IN TWO LAYERS WITH VICRYL AND MONOCRYL .
I AM GOING WITH 19300 AND N62 -gynecomastia.

 

[TThivierge]

Hi Vanessa
Is this dx for a man patient? Usually Gynecomastia dx is for men not females. Please look at dx N63.1 or N63.12 block then I use CPT 19303 if patient is a female.
Well that is my opinion and hope helped you too.
Lady T.

 

[Vanessa863]

THANK YOU FOR YOUR RESPONSE , IT IS A MALE PATIENT .

 

[CBLENNIE]

Then your code is 19300 is the appropriate code since it is a mastectomy for gynecomastia.

 

[Vanessa863]

THANK YOU, THATS WHAT IM USING FOR THE PROCEDURE , I REALLY ENJOY THE AAPC POST AND THREADS THEY ARE HELPFUL