tci General Surgery Coding Alert - 2024 Issue Q1

You Be the Coder: Code This Re-excision Post Mastectomy

Question: Following a right mastectomy for invasive ductal carcinoma, the patient had a small local recurrence in the chest wall incision six months later. The surgeon performed a second procedure at that time, marking an ellipse over the area of the lesion measuring 3 x 4 cm and excising tissue to the intramuscular layer. Should we use a mastectomy code or a chest wall code? Missouri Subscriber Answer: You should not use a mastectomy code such as 19301 (Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)), because the procedure does not remove a portion of the breast. Nor should you...

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