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partical mastectomy and adjacent tissue-transfer

Rebecca Posted Tue 10th of September, 2019 12:06:28 PM
partial mastectomy -Right Breast 19301-RT adjacent tissue-transfer 84 sq cm 14301-51,RT, 14302 -RT, deep right sentinel lymph node biopsy 38525-RT, Mapping 38900-RT. Insurance is stating that its not appropriate to report adjacent tissue transfer to CPT 19301, because closure is included in the work represented by code 19301. Cpt code 14302 denied add on code to 14301. How can this be ??? No NCCI edits come up when I enter these codes in the super coder edit checker. I ran a similar case by "ask an Expert" and I was told I had coded it correctly. Please help
SuperCoder Answered Wed 11th of September, 2019 10:13:33 AM
Hi Thanks for your question Code suggest that the partial mastectomy is performed to eradicate cancerous or suspected to be cancerous lesions or a lump in the breast through an open and incisional process A physician makes an incision with a scalpel over the lump and the suspected lump is...

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