AMA CPT® Assistant - 2007 Issue 12 (December)

Surgery: Integumentary System (December 2007)

December 2007 page 8b Coding Communication:Surgery: Integumentary System Question: The patient had a re-excision of her lumpectomy site along with a sentinel node biopsy. The physician removed two lymph nodes through an axillary incision. The procedure report notes that the lumpectomy cavity was opened and the entire inferior margin was excised from the anterior surface of the lumpectomy cavity to the posterior. Is it appropriate to report the re-excision with code 19302, Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy? Also, if no lymph nodes were excised and only a re-excision of the lumpectomy site was performed...

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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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