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...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT Assistant Q&A focused on integumentary system coding questions. It addresses breast surgery reporting considerations and clarifies how selected skin replacement procedure codes are discussed in relation to patient age. The content is useful for coders, billing staff, and compliance teams looking for general guidance on when to review CPT instructions for these services.

Why This Topic Matters

Integumentary surgery coding often involves overlapping procedure reporting and age-related CPT instructions, so this Q&A helps readers understand the topics covered in the official guidance and whether the full article is relevant to their coding questions.

What You Will Learn

  • How the article approaches coding questions for integumentary system procedures
  • What kinds of CPT guidance are discussed for breast surgery reporting
  • How the article frames age applicability issues for selected skin replacement procedures
  • Which general CPT instruction areas are highlighted in the Q&A format

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle staff
  • Compliance professionals
  • Physician practice managers

Codes Discussed


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