tci General Surgery Coding Alert - 2001 Issue 12

You Be the Coder: Modified Radical Mastectomy

Test your coding knowledge.  Determine how you would code this situation before looking at the box below for the answer. Question: What is the appropriate coding procedure when the general surgeon performs a modified radical mastectomy and then turns the patient over, intraoperatively, to the plastic surgeon? I have been told that I need to append modifier -52 to 19240 because my surgeon will not be closing the patient. Is this correct?Maine Subscriber   Answer: No. The surgeon completed the 19240 (mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis...

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