AHA Coding Clinic® for HCPCS - 2018 Quarter 2; Ask the Editor
BioZorb Device
Patient with breast cancer presents for a partial right mastectomy with needle localization and lymph node excision and mapping. The breast was incised and multiple flaps were created. Margins were marked and the specimen was removed and adequate margins were confirmed by the intraoperative X-ray. The BioZorb device was sutured in place, in the cavity as a fiducial marker and to assist in the shape of the breast. The breast flaps were used to cover and close the lumpectomy cavity. Since the BioZorb device was inserted as both a fiducial marker and structural/contour support for the post-surgical breast mastectomy, what are the appropriate codes for the procedures performed? Is the appropriate code for insertion of BioZorb CPT code 19340 or HCPCS code C9728 or A4648 ? ...
Subscribe or sign in to view the full article.
Article Overview
This article addresses a breast cancer surgical scenario and the coding considerations raised by placement of a BioZorb device during the same operative session. It is intended for coding professionals working with breast surgery, outpatient surgical coding, and related claim review. The article focuses on procedure coding questions, including how the case is characterized and which code families may be relevant to the device placement.
Why This Topic Matters
Device placement during breast-conserving surgery can affect procedure reporting and claim interpretation, so coders need to understand how the operative context is being discussed in the article before reviewing the full guidance.
What You Will Learn
- How a breast cancer operative case involving a BioZorb device is being framed for coding review.
- Which procedure coding topics are raised by the surgical scenario.
- What coding question is being asked about device insertion versus other code families.
- How the operative context may affect coding research for breast surgery cases.
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle staff
- Breast surgery coding specialists
- Outpatient surgery billers
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com