AMA CPT® Assistant - 2013 Issue 11 (November)

Surgery: Integumentary System (Q&A) (November 2013)

November 2013 page 14a Surgery: Integumentary System Question:A patient has a left breast segmentectomy for breast cancer. Is it appropriate to report the unlisted code 19499 for placement of the fiducial marker in addition to the segmentectomy procedure? Answer:No. The segmentectomy procedure (reported with code 19301, Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy), includes placement of any fiduciary markers. Question:Please confirm that CPT codes 15273, 15274, 15277, and 15278 are for children and adults. I am receiving denials from insurance carriers stating that these codes are for infants and children only. Answer:Yes, these codes apply to both children and...

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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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