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We have a good discussion going in my office about the correct CPT code this one:
".... is a 71-year-old female who underwent needle localized surgical excision of a biopsied mass which showed ADH. The final pathology came back as DCIS (small focus intermediate grade). The patient was discussed on Friday with multidisciplinary tumor board. I discussed her case with the pathologist, radiologist as well as the oncologist. We decided that additional margins werre indicated given the nature of the DCIS. This was to ensure adequate surgical clearance of the margins." (This is quoted from the note.)
3 large (the smallest was 4.2 x 2.1 x 1.8 cm) excisions were made. Path came back with 2 segments benign. 3rd biopsy showed "fibrocystic change with a focus of atypical ductal hyperplasia."
We decided CPT 11606 doesn't fit (no malignancy). 11406 (w/ intermediate closure), 19120, and 19301 are all part of the discussion. We have reason not to choose any of these, also. We would welcome comments/opinions.
".... is a 71-year-old female who underwent needle localized surgical excision of a biopsied mass which showed ADH. The final pathology came back as DCIS (small focus intermediate grade). The patient was discussed on Friday with multidisciplinary tumor board. I discussed her case with the pathologist, radiologist as well as the oncologist. We decided that additional margins werre indicated given the nature of the DCIS. This was to ensure adequate surgical clearance of the margins." (This is quoted from the note.)
3 large (the smallest was 4.2 x 2.1 x 1.8 cm) excisions were made. Path came back with 2 segments benign. 3rd biopsy showed "fibrocystic change with a focus of atypical ductal hyperplasia."
We decided CPT 11606 doesn't fit (no malignancy). 11406 (w/ intermediate closure), 19120, and 19301 are all part of the discussion. We have reason not to choose any of these, also. We would welcome comments/opinions.