tci General Surgery Coding Alert - 2014 Issue 12

Reader Question:19304 Focus is Skin Sparing

Question: I’ve heard that the distinguishing difference between 19303 and 19304 is whether the surgeon removes the pectoral fascia — is that correct? Ohio Subscriber Answer: No, removing the pectoral fascia is not the key factor that distinguishes 19303 (Mastectomy, simple, complete) from 19304 (Mastectomy, subcutaneous).  Code 19304 describes a subcutaneous mastectomy, and the key feature is that the procedure is skin-sparing. The surgeon removes breast tissue through an incision under the breast, leaving the skin, areola, and nipple. Surgeons perform this procedure only if the skin is not affected by malignancy, often for conditions such as...

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