tci General Surgery Coding Alert - 2009 Issue 7

Choosing Between 19301 Plus 38500 Vs. 19302 Can Be as Simple as 1, 2, 3

Tip: Know when to include a lymph node excision code, or pay the price. If youre reporting the wrong partial mastectomy code or leaving off a lymph node excision code because youre not identifying exactly what procedure the surgeon performed, you could be costing your practice almost $250 per procedure. Or, if you upcode when you shouldnt, you could be getting almost $250 more per procedure than you should be, which can lead to major audit concerns. To choose the proper coding for these types of procedures, you need to dig into your surgeons operative notes. Follow these expert...

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