Wiki New Breast Mass codes

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Coastal Coder

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Good morning,

I am at a lose as to how to code for masses in the 12-3-6-9 oclock positions. The new codes are for UIQ, UOQ, LIQ and LOQ, with a code for unspecified quadrant.

Unlike the Breast Cancer codes which has a overlapping code for those positions.

I have been using the unspecified quadrant codes but I don't like to use that. Any help would be great.


Thanks so much for your help

Michelle L English CPC
 
Coding breast masses at 3, 6, 9, or 12 o'clock

I have been using the unspecified code too. I am with you, I don't like it.
 
Have you been receiving denials from Medicare when using these new codes? The new DX have been denying for medical necessity when billing for a biopsy or diagnostic mammogram.
 
Breast quadrants

According to SuperCoder.com "The correct codes for the 12 o'clock position breast mass are N63.22 and N63.21 or N63.11 and N63.12 as per laterality mentioned in document."

Another post from 2-01-2018 from terrilynn.logan@gmail.com states "There was a WPS call back on Jan 10th where this issue was addressed. They stated to code the lump as being in both quadrants, not unspecified".
 
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