tci Outpatient Facility Coding Alert - 2016 Issue 10

Reader Question: Choose 19301 and 19302 for Lumpectomy

Question: The provider performs lumpectomy to remove a suspicious lump in the patient’s right breast. How do we code for this? Maine Subscriber Answer: You may use the code 19301 (Mastectomy, partial [eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy) because this procedure is a partial mastectomy, where the provider works to remove cancerous (or suspected to be cancerous) tissue or a lump in the breast using an open incision. The CPT® code 19301 covers lumpectomy, tylectomy, quadrantectomy, or a segmentectomy. In a quadrantectomy, a quarter of the breast is removed by mastectomy. In lumpectomy, theentire lump of the breast along...

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