tci General Surgery Coding Alert - 2020 Issue Q3

You Be the Coder: Capture 3 Steps for Mastectomy Case

Question: Our surgeon performs a partial mastectomy and if the deformity is too big then he performs a oncoplastic reconstruction of the breast with the 3D Biozorb implant and pedicled flap 40 sq cm. How should we code this? SuperCoder Subscriber Answer: The correct codes are 19301 (Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)), 19340 (Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction), and 14301 (Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm). Caution: For the adjacent tissue transfer, make sure that the surgeon describes the size...

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