Use 19162 for complete lymphadenectomies only

Why This Topic Matters

Correct reporting in breast surgery cases can affect whether services are bundled or billed separately and can influence claim processing. The article helps coders recognize when related procedures and postoperative follow-up scenarios fall under different CPT reporting patterns.

Article Sections

1. Coding partial mastectomy with axillary lymphadenectomy

   Discusses the general reporting scenario when breast surgery and lymph node surgery occur during the same operative session. It also addresses the impact of incision count and related bundling considerations.

2. Reporting complete axillary lymphadenectomy on its own and in the global period

   Covers postoperative follow-up situations and the general use of modifier reporting when lymph node surgery is performed after the initial breast procedure. It also notes the role of the global period.

3. Biopsy, intent, and payer variation

   Addresses situations in which a biopsy and later lymph node dissection may be reported separately. It also notes that payer policies may differ when procedures are performed together.

4. Scope limited to partial mastectomies

   Clarifies that the article’s bundling discussion applies to partial mastectomy cases and distinguishes them from broader mastectomy categories.