AMA CPT® Assistant - 2015 Issue 3 (March)

Coding Brief: Coding for Breast Surgery (March 2015)

March 2015 page 5 Coding Brief: Coding for Breast Surgery Coding for surgical services can be complicated due to the numerous rules, guidelines, and exceptions. As a result, we often receive questions from users of the CPT® code set about coding, particularly for breast surgery. This coding brief provides answers to some frequently asked coding questions related to breast cancer operations; sentinel node biopsy; ultrasound-guided core biopsies; excision with wires; intraoperative assessment of margins; and more. Question: Why are there two separate codes to report breast cancer operations with sentinel node biopsy and one unified code for mastectomy or...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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