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BREAST SURGERY

Lina Posted Mon 13th of October, 2014 11:19:04 AM

HI NEED HELP CODING THIS:

NEEDLE LOCALIZATION OF THE LEFT BREAST TUMOR SITE, PARTIAL MASTECTOMY, AND X-RAY VERIFICATION OF THE LESION AND RECONSTRUCTION OF THE BREAST
PRE OPREATIVE DX TUMOR OFT THE LEFT BREAST
19102
19301
19357
DOES THIS LOOK OK?
IF YES DO I NEED MODIFIERS?

SuperCoder Answered Tue 14th of October, 2014 03:52:42 AM

Hello,

Thanks for asking the question.

In the given case you need to check two things:

1. If the biopsy, excision of lesion and reconstruction of breast have been performed in same session.

2. Which technique is the provider using for breast reconstruction. We have different codes for different techniques.

If it is in same session then biopsy and localization of needle will be inclusive to the excision and reconstruction.

If it is in a separate session, then please check the type of imaging guidance used for biopsy and needle localization and use code from series 19081-19086 as per imagining guidance and add modifier 59 with it.

The code you have mentioned for biopsy 19102 has been deleted in Dec 2013. So check the date of service too.

19357-LT
19301-LT
&
Any one code from 19081-86 with 59LT if performed in separate session.

Hope this help.
Thanks

Lina Posted Tue 14th of October, 2014 09:35:45 AM

THANK YOU SO MUCH

SuperCoder Answered Tue 14th of October, 2014 09:42:32 AM

You are welcome.

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