AHA Coding Clinic® for ICD-9 - 2012 Issue 2; Ask the Editor

Sentinel Node Biopsy with Modified Radical Mastectomy

Coding Clinic, Second Quarter 2002, page 7, states “if the sentinel node is positive, a complete axillary node dissection is usually carried out.” When a sentinel node biopsy is done followed by a modified radical mastectomy, should code 40.23, Excision of axillary lymph node, be assigned for the sentinel node biopsy, along with code 85.43, Unilateral extended simple mastectomy? A “simple mastectomy with excision of regional lymph nodes” is an inclusion at code 85.43. ...

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