Wiki re-opening of mastectomy site to remove Pectoalis Major Muscle

[vjst222]

I am needing some help on this procedure. I have never had one like this before and I have researched and searched and I am not having any luck

Patient comes in post mastectomy , path came back with positive deep margin in the left breast. Our Dr re opens the mastectomy site to remove the pectoralis major muscle in the same area of previous tumor . The removal was at the 12 oclock position on the left breast.

Any one have any ideas? I appreciate any help given

 

[khoffman]

look at codes 21556 & 21554 "intramuscular" , dont forget modifier 58 for extensive if in the 90 day global.