tci General Surgery Coding Alert - 2010 Issue 2

READER QUESTIONS: Don't Let 'T' Confuse You

Question: Our surgeon performed an oncoplastic modified radical mastectomy with inverted T incision. Should I report this as 19316 along with the 19307? Tennessee Subscriber Answer: The correct code for this service is 19307 (Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle). Surgeons commonly use the inverted T incision as part of a modified radical mastectomy. The mastectomy with this type of incision provides a breast conserving therapy. The inverted T incision is especially common for modified radical mastectomy when the tumor is situated in the central or inferior...

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