AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2016 Issue 1; Ask the Editor

Axillary Lymph Node Resection with Modified Radical Mastectomy

A 39-year-old patient with invasive ductal cancer of the right breast, status post neoadjuvant chemotherapy, underwent modified radical mastectomy of the right breast. During the axillary dissection, the provider removed level 1, level 2 and parts of level 3 lymph nodes. We assigned a code for the modified radical mastectomy of the right breast, but are seeking clarification of whether each axillary lymph node level is considered a separate body part (4th character), and therefore, multiple codes are assigned? ...

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