janet0221
Contributor
I have a question. Can you code a 19301-58 partial mastectomy following a simple mastectomy when the path report recommends additional margins?
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Wiki re-excision for margins following simple mastectomy
- Thread starter janet0221
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Pebbles1218
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re-excision of mastectomy site
Depending on the amount of tissue removed use 19120-58. If an extensive amount of tissue removed then use 19301-58.
Depending on the amount of tissue removed use 19120-58. If an extensive amount of tissue removed then use 19301-58.
janet0221
Contributor
Add'l question
Normally 19120 is used when there is no attention to adequate margins? In this case, that was the intent??
Normally 19120 is used when there is no attention to adequate margins? In this case, that was the intent??
Lesainc
Networker
Maybe I am having a bad brain moment, but I would look at 19120/5 as a procedure that needs margins and the 19301/2, the surgeon is not looking for margins. In the later code the surgeon is removing a bulk of tissue based on anatomical guideposts.
I recognize that even in the 19300's a surgeon can get sandbagged with a sneeky cancer, a margin comes back positive and they would need to go back for margins.
I recognize that even in the 19300's a surgeon can get sandbagged with a sneeky cancer, a margin comes back positive and they would need to go back for margins.
Lesainc
Networker
oh and I would look at this case as a 19301-58. Forgot to mention that.
See! Bad Brain Day!
See! Bad Brain Day!