The patient had a re-excision of her lumpectomy site along with a sentinel node biopsy. The physician removed two lymph nodes through an axillary incision. The procedure report notes that the lumpectomy cavity was opened and the entire inferior margin was excised from the anterior surface of the lumpectomy cavity to the posterior. Is it appropriate to report the re-excision with code 19302 , Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy? Also, if no lymph nodes were excised and only a re-excision of the lumpectomy site was performed, is it appropriate to report code 19301 , Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)? ...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This Find-A-Code article addresses coding questions arising from breast re-excision after lumpectomy, with attention to accompanying sentinel node evaluation and related reporting choices. It is written for coders, billers, and other revenue cycle professionals who need to understand the scope of the procedure, the applicable CPT code families, and the use of a postoperative modifier in this context.

Why This Topic Matters

Breast surgery coding often depends on the exact extent of tissue removal and whether lymph node procedures were performed. This article helps users distinguish the procedure categories involved so claims can be coded consistently and supported by the operative note.

Codes Discussed

• CPT: 19302
• CPT: 19301
• CPT: 38500
• CPT: 38525
• CPT: 38792
• CPT: 58

Modifiers Discussed

• CPT: 58

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