AMA CPT® Assistant - 2008 Issue 9 (September)

Partial Mastectomy/Lumpectomy and Axillary Lymphadenectomy-19301, 19302, 38500, 38525 (September 2008)

September 2008 pages 5-6 Coding Brief:Partial Mastectomy/Lumpectomy and Axillary Lymphadenectomy-19301, 19302, 38500, 38525 Although we previously addressed breast lesion excision with sentinel node excision and axillary lymph node dissection (ALND), the following questions offer further assistance when coding from medical record documentation. Question #1: Would code 19301 (with the appropriate lymph node excision code), or code 19302, which includes axillary lymphadenectomy, be reported for the following clinical scenario: Lumpectomy with attention to surgical margins performed along with a separate incision in the right axillary area to remove two superficial sentinel lymph nodes? AMA Response: Code 19301, Mastectomy, partial (eg...

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