AMA CPT® Assistant - 1998 Issue 3 (March)
Integumentary System, 19125, 19126 (Q&A) (March 1998)
March 1998 page 10 Coding Consultation Integumentary System, 19125, 19126 (Q&A) Question A patient has a breast lesion excised from her left breast and 2 breast lesions excised from the right breast, all 3 lesions with wire localization prior to excision, how would my physician report these services? AMA Comment From a CPT coding perspective and in the absence of a specific operative note, if a lesion identified by preoperative placement of a radiological marker is excised, then CPT code 19125, Excision of breast lesion identified by preoperative placement of radiological marker; single lesion, would be reported for...
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Article Overview
This March 1998 CPT Assistant Q&A addresses coding considerations for breast lesion excision services in the integumentary system when lesions have been identified with preoperative radiologic marker placement. It is relevant for coders, billers, and physician practices that need to understand the reporting framework discussed in the article, including how the guidance relates to add-on code reporting and multiple procedures in a CPT context.
Why This Topic Matters
The article helps readers recognize the coding scenario discussed in the AMA commentary and understand the general billing context surrounding add-on code use and multiple-procedure reporting.
Article Sections
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Question
A clinical coding question about a breast lesion excision scenario involving lesions on both sides and prior localization is presented.
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AMA Comment
The AMA’s response explains the CPT coding context for the scenario and discusses related multiple-procedure reporting considerations.
What You Will Learn
- How the article frames a breast lesion excision coding scenario in CPT terms
- What broad guidance the AMA commentary provides about reporting services when preoperative radiologic marker placement is involved
- How the article discusses add-on code status in relation to multiple-procedure reporting
- What general documentation context the article says is important for interpreting the coding question
Who Should Read This
- Medical coders
- Billing specialists
- Physician practice staff
- Compliance personnel
- Coding educators
Codes Discussed
Modifiers Discussed
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