E/M Coding Alert - 2020 Issue 12
Reader Questions: Beware Breast-Plus-Lymph Pitfall
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Article Overview
This reader Q&A reviews a breast surgery coding scenario involving a partial mastectomy with axillary lymph node removal. It is aimed at coding professionals who need to understand how CPT procedure selection, related breast-and-lymph combinations, and NCCI bundling guidance are discussed in the context of a specific operative report scenario.
Why This Topic Matters
Breast procedures combined with lymph node surgery are common sources of coding confusion, especially when multiple CPT options seem possible. This article helps readers understand the scope of the issue, the coding family involved, and the role of NCCI edits in determining appropriate reporting.
What You Will Learn
- How the article frames a breast surgery plus axillary lymph node procedure coding question.
- How CPT procedure selection is discussed for a partial breast surgery with lymph node surgery.
- How NCCI bundling is relevant to the reported code combination.
- What kind of reporting pitfall the article warns against in this scenario.
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle professionals
- Physician coding staff
- Compliance staff
Codes Discussed
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