CPT Knowledgebase - Jun 16, 2015

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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