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LYMPHADENECTOMY W/MASTECTOMY ?BUNDLED

Charlene Posted Mon 29th of June, 2015 16:46:39 PM

SKIN SPARING MASTECTOMY W/AXILLARY NODES LEVEL 1&2 REMOVED AT SAME SESSION. PER CCI 38740 IS BUNDLED INTO 19303. DO YOU THINK IT IS APPROPRIATE TO UNBUNDLE WHEN PERFOMED ON THE SAME SIDE?

SuperCoder Answered Tue 30th of June, 2015 02:21:18 AM

Code 38740 is a column 2 code for 19303, modifier is allowed in order to differentiate between the services provided. please bill modifier XS to indicate that the procedure was performed on a separate structure.
Code 19303 is for simple complete mastectomy but this procedure does not include the removal of axillary lymph nodes. So we can bill separately for removal of axillary lymph nodes.

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