AMA CPT® Assistant - 2009 Issue 12 (December)
Surgery: Integumentary System (December 2009)
December 2009 page 9b Bonus Feature: Surgery: Integumentary System Question: Would the unlisted breast procedure code, 19499 be reported to describe insertion of a cavitary evaluation device (CED) when performed in conjunction with a breast excision or re-excision? Sharon L. Cardiges, RHIA, CCS Answer: If placing an expandable catheter device at the time of a partial mastectomy, code 19499 , Unlisted procedure, breast , should be reported in addition to the appropriate mastectomy procedure code. Code 19296 , Placement of radiotherapy afterloading balloon catheter into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial...
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Article Overview
This premium article discusses a breast surgery coding question from CPT Assistant and explains how the topic is handled in the context of a device-related procedure performed with or after breast excision. It is useful for coders, auditors, and billing staff who work with surgical CPT coding, especially breast procedures and related guidance from the AMA publication. The article focuses on the relevant procedure codes, the setting in which they arise, and timing-related coding considerations.
Why This Topic Matters
Breast surgery coding can be sensitive to procedure context and date of service, so this article helps readers understand how CPT Assistant addresses a device-related scenario tied to partial mastectomy and follow-up exchange procedures.
Article Sections
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December 2009 page 9b
A bonus feature presenting a breast surgery coding question and response from CPT Assistant. The section addresses a device-related scenario in the integumentary surgery category.
What You Will Learn
- How CPT Assistant discusses a breast surgery coding question involving a device-related scenario
- What general topics are covered for procedures performed with or after breast excision
- How the article frames timing considerations for a separate-date exchange procedure
- Which CPT procedure code references appear in the guidance
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Compliance staff
- Physician practice administrators
Codes Discussed
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