AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2014 Issue 4; Ask the Editor
Skin-Sparing Mastectomy
A right skin-sparing mastectomy was performed due to the patient’s history of left breast invasive lobular carcinoma. After superior, medial, inferior and lateral flaps were made, the breast was taken off using electrocautery. Is the skin-sparing mastectomy coded as a resection or excision of the breast? ...
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Article Overview
This premium coding article addresses an ICD-10-PCS question about how to classify a skin-sparing mastectomy and whether the procedure is represented as one type of breast procedure versus another. It is aimed at coders and compliance staff who need to understand how the procedure is reflected in procedure code selection and how the article’s example is applied in practice.
Why This Topic Matters
Skin-sparing mastectomy is a common breast surgery scenario that can raise coding questions because tissue is preserved while the breast is removed. Understanding the article helps readers interpret the coding approach used for this procedure and distinguish it from other anatomy-tracking situations.
What You Will Learn
- How the article frames the coding question for a skin-sparing mastectomy
- How the procedure is categorized within ICD-10-PCS at a high level
- How the article’s example relates to breast body-part coding considerations
- Why the discussion distinguishes this scenario from other anatomy-tracking cases
Who Should Read This
- Medical coders
- Coding auditors
- Compliance professionals
- Revenue cycle staff
- Health information management professionals
Codes Discussed
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