AHA Coding Clinic® for HCPCS - 2012 Issue 3; Ask the Editor

Sentinel Lymph Node Injection and Biopsy

Patient with multifocal right breast cancer presents to have a total right mastectomy with sentinel lymph node injection and biopsy. Subcutaneous tissue dissected down and flaps were elevated to the clavicle, sternum, and the rectus fascia. The breast was pulled medially and dissected out of the right axilla area. Two blue-stained sentinel nodes were removed and additional enlarged nodes were removed and they were sent for frozen section. A drain was placed, and the wound closed. Would CPT codes 19303 and 38500 be the correct codes for the mastectomy, sentinel, and additional lymph node removal? ...

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